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炎症性肠病患者的自我护理:一个描述性的横截面多中心研究
Daniele Napolitano1,2, Silvia Cilluffo3, Valeria Amatucci2
1Department of Biomedicine and Prevention, Tor Vergata University, Rome, 00133, Italy.
炎症性肠病 (IBD) 患者表现出足够的自我护理维护和监测. 然而,自我护理管理需要改进,特别是在克罗恩氏病 (CD) 与性结肠炎 (UC) 相比.
科学领域:
- 胃肠病学 胃肠病学
- 慢性疾病管理 慢性疾病管理
- 患者自我护理行为
背景情况:
- 炎症性肠病 (IBD),包括克罗恩病 (CD) 和性结肠炎 (UC),需要复杂的自我护理来控制症状和提高生活质量.
- 了解自我护理实践及其在IBD中的决定因素至关重要,但仍然有限.
研究的目的:
- 研究IBD患者的自我护理实践.
- 确定影响IBD自我护理维护,监测和管理的社会人口和临床因素.
主要方法:
- 这是一项多中心的横截面研究,涉及9个意大利单位的452名IBD患者.
- 用慢性疾病自我护理库存来评估自我护理.
- 多重线性回归分析了患者特征和自我护理维度之间的关联.
主要成果:
- IBD患者表现出足够的自我护理维护 (72.84±12.57) 和监测 (81.14±17.94),但自我护理管理不足 (67.73±16.99).
- 性结肠炎 (UC) 患者表现出明显更好的自我护理管理比克罗恩病 (CD) 患者 (P=.002).
- 较高的疾病活动与较差的自我护理维护相关 (β=-.11,P=.030),而女性性别和补充剂使用与更好的自我护理监测有关.
结论:
- 在维护和监测方面,IBD自我护理充足,但在管理方面却不够理想.
- 诸如疾病活动,性别和补充剂使用等因素影响自我护理.
- 需要量身定制的干预措施来加强自我护理管理,特别是对于CD患者.
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