摘要
目的探讨非酒精性脂肪性肝病(Non-Alcoholic Fatty Liver Disease,NAFLD)患者自我健康管理水平及影响因素。方法采用一般资料问卷、NAFLD患者自我管理行为量表、社会支持量表对308例NAFLD患者进行调查,通过单因素和多元线性回归分析影响NAFLD患者自我健康管理水平的相关因素。结果 NAFLD患者的自我健康管理得分为(81.76±21.49)分。单因素分析显示:不同性别(t=2.235)、家族史(t=6.071)、文化程度(F=17.276)、月均收入(F=15.457)、婚姻状况(t=3.945)、睡眠障碍(t=3.710)、合并症(t=2.568)、社会支持水平(F=21.776)的NAFLD患者自我健康管理得分比较,差异均有统计学意义(P<0.05);多元线性回归分析显示:家族史、婚姻状态、文化程度等是NAFLD患者自我健康管理水平的影响因素(P<0.05)。结论 NAFLD患者自我健康管理水平有待提高,医务人员应加强低学历、低收入、无配偶、存在睡眠障碍的NAFLD患者的健康教育,并从专业和人文关怀的视角呼吁公众理解和支持NAFLD患者,完善社会支持体系,以提升患者自我健康管理水平。
Objective To explore the level of self-health management and its influencing factors in patients with nonalcoholic fatty liver(NAFLD).Methods 308 patients with NAFLD were investigated by general information questionnaire,self-management behavior scale of patients with non-alcoholic fatty liver disease and social support scale.The factors influencing self-health management level of NAFLD patients were analyzed by single factor and multiple linear regression.Results The scores of self-health management of 308 patients with NAFLD were(81.76±21.49).Univariate analysis showed that the differences of gender(t=2.235),family history(t=6.071),education level(F=17.276),average monthly income(F=15.457),marital status(t=3.945),sleep disorder(t=3.710),complications(t=2.568)and social support level(F=21.776)were statistically significant through the comparison of self health management scores of NAFLD patients.The differences were statistically significant(P<0.05).Multiple linear regression analysis showed that family history,marital status and education level,were the influencing factors of self-health management level of NAFLD patients(P<0.05).Conclusion The self-health management level of NAFLD patients needs to be improved.Medical staff should strengthen the health education of NAFLD patients with low education background,low economic income,no spouse and sleep disorder;call on the public to understand and support NAFLD patients,and improve the social support system from the perspective of professional and humanistic care in order to improve the self-health management level of patients.
作者
周颖
方林花
林敏
丁洁霞
ZHOU Ying;FANG Lin-hua;LIN Min;DING Jie-xia(Gastroenterology Department,Hangzhou First People's Hospital Affiliated to Zhejiang University School of Medicine,Hangzhou,Zhejiang 310006,China)
出处
《中国公共卫生管理》
2021年第4期469-472,共4页
Chinese Journal of Public Health Management
基金
浙江省自然科学基金(LQ18H070006)。
关键词
非酒精性脂肪肝
自我健康管理
影响因素
nonalcoholic fatty liver
self health management
influencing factor
