膝骨关节炎病人自我管理能力现状及其影响因素

Status quo and influencing factors of self⁃management ability of patients with knee osteoarthritis

目的:探讨膝骨关节炎病人自我管理能力,分析其影响因素。方法:选取2021年1月—10月在陕西省陕南、陕北、关中三级甲等医院骨病科住院的672例病人作为研究对象。采用一般资料调查表、家庭关怀度指数问卷(APGAR)、慢性病自我管理行为量表、视觉模拟评分表(VAS)对病人进行调查。结果:膝骨关节炎病人慢性病自我管理行为量表总分为(21.99±4.23)分,APGAR总分、性别、年龄、婚姻状况为膝骨关节炎病人自我管理行为的影响因素(P<0.05)。结论:膝骨关节炎病人自我管理行为处于低水平,医护人员应采取针对性措施对不同性别、年龄、婚姻状况的病人进行干预,改善病人家庭关怀度,以提升病人的自我管理行为。

Objective:To explore the self-management ability of patients with knee osteoarthritis,and analyze its influencing factors.Methods:A total of 672 patients hospitalized in the orthopedic department of tertiary grade A hospitals in southern,northern,and central of shaanxi province were selected as research subjects from January to October 2021.Patients were surveyed by general information questionnaire,Adaption,Partnership,Growth,Affection and Resolve(APGAR),the Chronic Disease Self⁃Management Behavior Scale,and Visual Analogue Scale(VAS).Results:The total score of the Chronic Disease Self⁃Management Behavior Scale of patients with knee osteoarthritis was 21.99±4.23.The total score of APGAR,gender,age,and marital status were the influencing factors of self⁃management ability of patients with knee osteoarthritis(P<0.05).Conclusions:The self⁃management behavior of patients with knee osteoarthritis is at low level.Medical staff should take targeted measures to intervene with patients of different genders,ages,marital status,and improve their family care,in order to enhance their self⁃management behavior.