慢性乙型肝炎肝纤维化患者疾病自我管理能力不佳的影响因素

Influencing factors of poor disease self-management ability in patients with chronic hepatitis B liver fibrosis

目的:探讨慢性乙型肝炎肝纤维化患者疾病自我管理能力不佳的影响因素。方法:回顾性分析2019年1月至2021年7月该院收治的60例慢性乙型肝炎肝纤维化患者的临床资料,采用慢性病自我管理行为量表(CDSMS)评估患者自我管理能力评分,总分30分,将评分≤10分的患者判定为自我管理能力良好,将评分>10分的患者判定为自我管理能力不佳,并采用Logistic回归分析影响慢性乙型肝炎肝纤维化患者自我管理能力的因素。结果:60例慢性乙型肝炎肝纤维化患者中疾病自我管理能力不佳17例,占比28.33%,自我管理能力良好43例,占比71.67%;自我管理能力不佳患者的性别、年龄、体质量指数、工作状况、居住地、宗教信仰、医疗付费形式等与自我管理能力良好患者比较,差异均无统计学意义(P>0.05);自我管理能力不佳患者的社会支持度低、家庭功能不良、合并并发症、受教育程度低等占比均高于自我管理能力良好患者,差异有统计学意义(P<0.05);Logistic回归分析结果显示,社会支持度低、家庭功能不良、合并并发症、受教育程度低均为影响慢性乙型肝炎肝纤维化患者自我管理能力不佳的危险因素(OR>1,P<0.05)。结论:社会支持度低、家庭功能不良、合并并发症、受教育程度低均为影响慢性乙型肝炎肝纤维化患者疾病自我管理能力不佳的危险因素。

Objective:To explore influencing factors of poor disease self-management ability in patients with chronic hepatitis B liver fibrosis.Methods:The clinical data of 60 patients with chronic hepatitis B liver fibrosis admitted to our hospital from January 2019 to July 2021 were retrospectively analyzed.The chronic disease self-management behavior scale(CDSMS)was used to evaluate the self-management ability of these patients with a total score of 30 points.The patients with the score≤10 points were judged as good self-management ability,while the patients with the score>10 points were judged as poor self-management ability.Logistic regression was used to analyze the influencing factors of disease selfmanagement ability in the patients with chronic hepatitis B liver fibrosis.Results:Among the 60 patients with chronic hepatitis B liver fibrosis,17 patients had poor disease self-management ability,accounting for 28.33%;43 patients had good self-management ability,accounting for 71.67%.There were no significant differences in gender,age,body mass index,work status,place of residence,religious belief,and form of medical payment among the patients with poor self-management ability and those with good self-management ability(P>0.05).The proportions of the patients with low social support,poor family function,complications,and low education level among the patients with poor self-management ability were higher than those of patients with good self-management ability,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that low social support,poor family function,combined complications,and low education level were all risk factors for poor self-management ability in the patients with chronic hepatitis B liver fibrosis(OR>1,P<0.05).Conclusions:Low social support,poor family function,combined complications,and low education level are all risk factors for poor self-management ability in the patients with chronic hepatitis B liver fibrosis.