摘要
目的对维持性血液透析患者的自我管理能力进行特征分类,为制订针对性的健康教育提供参考.方法采用维持性血液透析患者自我管理量表对福州市3所三级甲等医院血液净化中心的326例门诊维持性血液透析患者进行横断面调查,利用潜在剖面分析对其自我管理能力进行特征分类.结果患者可分为自我管理低下型170例(52.2%)、自我管理一般型123例(37.7%)、自我管理良好型13例(4.0%)、自我管理被动型20例(6.1%)4类;4类患者在年龄、性别、工作状态、文化程度、透析龄及治疗方式上差异有统计学意义(P<0.05,P<0.01).结论维持性血液透析患者的自我管理能力低下,医护人员应甄别不同类型患者的管理问题及薄弱环节,采取针对性的干预措施,尤其对老年、无业、文化程度偏低、透析龄较长及情绪管理较差的患者应强化干预,以最大程度地提升患者的自我管理能力.
Objective To identify typologies of self-management ability in maintenance hemodialysis patients,and to provide refe-rences for developing targeted health education.Methods Atotal of 326 maintenance hemodialysis patients from blood purification centers of 3 Grade A hospitals in Fuzhou were investigated utilizingthe hemodialysis self-management instrument,then Latent profile analysis(LPA)was performed to identify distinct groups based on their self-management ability characteristics.Results The patients could be classified into 4 types:low self-management 170(52.2%),general self-management 123(37.7%),good self-management 13(4.0%)and passive self-management 20(6.1%),and there were significant differences in age,gender,work status,educational background,length of dialysis and treatment methods among the four types(P<0.05,P<0.01).Conclusion The self-management ability of maintenance hemodialysis patients is low.Medical staff should identify the management problems and weaknesses of each type,and adopt targeted interventions,especially for the elderly,unemployed,low educational background,longer dialysis and poor emotional management patients,so as to improve their self-management ability to the largest extent.
作者
巴珍妮
彭山玲
陈玲
Ba Zhenni;Peng Shanling;Chen Ling(School of Nursing,Fujian Medical University,Fuzhou 350122,China)
出处
《护理学杂志》
CSCD
北大核心
2020年第7期27-30,共4页
Journal of Nursing Science
关键词
维持性血液透析
终末期肾病
自我管理能力
自我管理能力特征
潜在剖面分析
情绪管理
maintenance hemodialysis
end-stage renal disease
self-management ability
typologies of self-management ability
latent profile analysis
emotion management
