腹膜透析患者自我管理能力现状及其影响因素分析

Analysis of self-management ability and its influencing factors in peritoneal dialysis patients

目的调查腹膜透析患者自我管理能力现状并探讨其影响因素。方法采用一般资料调查表、自我管理能力量表、自我效能感量表、社会支持评定量表、汉密顿焦虑量表和汉密顿抑郁量表对120例腹膜透析患者进行调查。结果患者自我管理量表总分为(56.62±12.08)分,处于中等水平;透析龄、自我效能、社会支持和焦虑是患者自我管理能力的主要影响因素,自我管理能力与透析龄、自我效能呈正相关,与焦虑程度呈负相关。结论医护人员应重点关注透析早期、自我效能和社会支持不足以及有焦虑倾向的患者,采取针对性干预,提高其自我管理水平。

Objective To investigate the status quo of self-management ability of peritoneal dialysis patients and its influencing factors.Methods Totally,120 cases of patients with peritoneal dialysis were investigated with the Patients’ General Information Questionnaire,Self-Management Ability Scale(SMAS),General Self-Efficacy Scale(GSES),Social Support Rating Scale(SSRS),Hamilton Anxiety Scale(HAS) and Hamilton Depression Scale(HDS).Results The total score of SMAS of peritoneal dialysis patients was(56.62±12.08),which was at a medium level.Dialysis duration,generalself-efficacy,social support and anxiety state were the main influencing factors of self-management ability.Self-management was negatively correlated with the dialysis duration,self-efficacy and positively correlated with anxiety degree.Conclusion Medical staff should pay attention to the patients with early dialysis,insufficient self-efficacy and social support and anxiety tendency,and take targeted intervention to improve their self-management level.