肾病综合征患者自我管理水平影响因素分析和护理干预

Analysis of influencing factors of self-management level and nursing intervention in patients with nephrotic syndrome

目的探讨肾病综合征患者自我管理水平的影响因素,并针对影响因素拟定相应护理干预措施。方法选取2017年1月至2018年12月我院收治的肾病综合征患者94例,采用自我效能感量表对患者进行测评,其中39例患者自我管理水平较差,采用单因素和多因素logistic回归分析影响自我管理水平的因素。结果单因素分析结果表明,病程、婚姻状况、费用支付方式、文化水平、家庭支持、相关知识掌握水平为影响肾病综合征患者自我管理水平的因素(P<0.05);多因素logistic回归分析结果表明,文化水平、费用支付方式、家庭支持、相关知识掌握水平为影响肾病综合征患者自我管理水平的独立危险因素(P<0.05)。结论护理人员应根据肾病综合征患者自我管理水平实施相应护理干预措施,提高其自我管理能力,促进疾病康复。

Objective To explore the influencing factors of self-management level in patients with nephrotic syndrome,and to formulate corresponding nursing intervention measures according to the influencing factors.Methods We selected 94 cases of patients with nephrotic syndrome who were admitted to our hospital from January 2017 to December 2018.The patients were evaluated by the self-efficacy scale.Among them,39 cases of patients had a poor self-management level.Univariate analysis and multiple factors logistic regression analysis were used to analyze the factors affecting self-management level.Results The univariate analysis showed that the course of disease,marital status,payment methods,cultural level,family support,and related knowledge mastery levels were the factors affecting the self-management level of patients with nephrotic syndrome(P<0.05).The univariate analysis showed that the cultural level,payment methods,family support,and related knowledge mastery levels were the independent risk factors affecting the self-management level of patients with nephrotic syndrome(P<0.05).Conclusion Nursing staff should implement corresponding nursing intervention measures according to the level of self-management of patients with nephrotic syndrome to improve their self-management ability and promote disease recovery.