摘要
目的探讨基于聚类分析的寻常型银屑病患者自我管理分型与生活质量的关系。方法选取2017年10月—2019年6月南京医科大学第一附属医院寻常型银屑病患者133例,实施基于聚类分析的自我管理分型[乐观实践型(n=39)、盲目放任型(n=38)、悲观不作为型(n=23)、忧虑实践型(n=33)],并统计不同自我管理分型寻常型银屑病患者基本情况,其中包括自我管理评分、银屑病患者生活质量量表(PQOLS)评分和基线资料。结果不同自我管理分型寻常型银屑病患者性别、年龄、病程、病变形状间比较差异无统计学意义(P>0.05),是否接受健康宣教、受教育程度、皮损分期间比较差异有统计学意义(P<0.05);不同自我管理分型寻常型银屑病患者疾病管理、日常生活管理、情绪管理、社会功能与人际关系管理评分间比较差异有统计学意义(P<0.05)。不同自我管理分型寻常型银屑病患者生理维度、心理维度、社会维度及疾病维度评分间比较差异有统计学意义(P<0.05)。结论基于聚类分析的不同自我管理分型寻常型银屑病患者自我管理情况及生活质量存在显著差异,且是否接受健康宣教、受教育程度、皮损分期可能为影响患者自我管理状态的重要因素。
Objective In order to explore the relationship between self-management and quality of life in patients with psoriasis vulgaris based on cluster analysis.Method Totally 133 patients with psoriasis vulgaris in the first affiliated Hospital of Nanjing Medical University from October 2017 to June 2019 were selected to carry out self-management classification based on cluster analysis[optimistic practice type(n=39),blind laissez-faire type(n=38),pessimistic inaction type(n=23),anxiety practice type(n=33)],and the base of different self-management classification of psoriasis vulgaris counted.The selfmanagement scores,dermatological quality of life index(PQOLS)scores and baseline data of psoriasis vulgaris patients with different self-management types were analyzed.Results There were no significant differences in gender,age,course of disease and lesion shape among patients with psoriasis vulgaris of different self-management types(P>0.05).There were significant differences in disease management,daily life management,emotional management,social functioning and interpersonal relationship management scores between patients with psoriasis vulgaris of different self-management fractions(P<0.05).Significant differences were found between the physical,psychological,social and disease dimensions of patients with psoriasis vulgaris in different self-management fractions(P<0.05).Conclusion There are significant differences in selfmanagement and quality of life among patients with psoriasis vulgaris according to different self-management types based on cluster analysis,and whether they receive health education,education level,skin lesion stage,course of disease may be important factors affecting the self-management status of patients.
作者
徐小干
林征
Xu Xiaogan;Lin Zheng(The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Nanjing Medical University,School of nursing,Nanjing 211166,China)
出处
《中国中西医结合皮肤性病学杂志》
CAS
2021年第4期366-369,共4页
Chinese Journal of Dermatovenereology of Integrated Traditional and Western Medicine
基金
江苏省高校品牌专业建设工程项目“护理学”[苏教高(2015)11号]。
关键词
寻常型银屑病
聚类分析
自我管理分型
生活质量
关联性
Psoriasis vulgaris
Cluster analysis
Self-management typing
Quality of life
Relevance
