维护血液透析患者的自我管理及其预测因素:基于三元式相互决定主义
Lijun Wang1,2, Haihua Gao3, Xiaohui Liu1
1Nursing School, Ningxia Medical University, Yinchuan, Ningxia, 750004, People's Republic of China.
International journal of nephrology and renovascular disease
|December 30, 2025
概括
确定了血液透析患者自我管理的预测因素,揭示了适度的自我管理水平. 住所,教育,流体摄入的动机和自主感知显著影响患者的自我护理能力.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 行为科学 行为科学
- 健康心理学 心理健康心理学
背景情况:
- 维护血液透析需要显著的患者自我管理.
- 了解自我管理的预测因素对于开发有效干预措施至关重要.
研究的目的:
- 确定在接受维护血液透析的患者中自我管理的关键预测因素.
- 为制定有针对性的干预措施提供信息,以提高患者的自我管理能力.
主要方法:
- 对341名维持血液透析患者进行的横截面调查.
- 使用了自我管理量表,适应液体摄入动机的合规量表和PEA量表.
- 采用多个线性渐进回归分析来识别预测因素.
主要成果:
- 患者表现出中等程度的自我管理能力 (平均得分为52.39±6.97).
- 居住地,教育水平,流体摄入的动机和自主感知是显著的预测因素 (P <0.05).
- 这些因素解释了28.5%的自我管理差异.
结论:
- 血液透析患者的自我管理处于中等水平.
- 一个预测模型突出了影响自我管理的关键因素.
- 这些发现可以指导医疗保健提供者制定有针对性的护理策略,以改善患者的治疗结果.
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