摘要
目的探讨腹膜透析患者健康素养的潜在类别及其与自我管理能力的关系。方法选取肾内科346例患者为研究对象,采用一般资料调查表、慢性病病人健康素养量表和持续非卧床腹膜透析患者自我管理量表进行调查。采用Mplus 8.3进行潜在剖面分析,SPSS25.0软件比较不同类别健康素养患者的自我管理能力差异。结果腹膜透析患者健康素养水平可分为低健康素养-低经济支持型(21.10%)、中等健康素养-接受良好型(63.58%)、高健康素养-高改善意愿型(15.32%)3种潜在类别。多元logistic回归分析结果显示,年龄、文化程度、长期居住地、透析时间及是否发生过腹膜炎是影响腹膜透析患者健康素养类别的因素(均P<0.05)。不同健康素养类别的腹膜透析患者自我管理能力各维度得分及总分比较,差异有统计学意义(均P<0.05)。结论腹膜透析患者健康素养存在3种潜在类别,不同潜在类别的腹膜透析患者自我管理能力存在差异,专科护士应基于腹膜透析患者不同类别特征开展针对性干预,提高其自我管理能力。
Objective To explore the potential categories of health literacy in peritoneal dialysis patients and the relationship between the categories and self-management ability.Methods A total of 346 patients in the department of nephrology were selected to fill out the general data questionnaire,the Health literacy Scale for Chronic Disease Patients and the Self-Management Scale for Continuous Ambulatory Peritoneal Dialysis Patients.Mplus 8.3 was used for latent profile analysis,and SPSS 25.0 software was used to compare the differences in patients′self-management ability by category of health literacy.Results The health literacy level of peritoneal dialysis patients could be divided into 3 categories:low-health-literacy-low-energy type(21.10%),medium-health-literacy-good-acceptance type(63.58%)and high-health-literacy-high-willingness type(15.32%).Multiple logistic regression analysis showed that age,educational attainment,long-term residence,length of time on peritoneal dialysis therapy and peritonitis were factors that influenced patients′membership of health literacy categories(all P<0.05).There were significant differences in dimension scores and total scores of self-management ability among the 3 categories of peritoneal dialysis patients(all P<0.05).Conclusion There were 3 potential categories of health literacy in peritoneal dialysis patients,and the self-management ability of patients varied among the categories.Specialist nurses should carry out targeted intervention aiming at characteristics of varied health literacy categories,so as to improve patients′self-management ability.
作者
李慧林
来李鑫
赵志慧
杨倩倩
胡世海
齐思远
王丽娜
Li Huilin;Lai Lixin;Zhao Zhihui;Yang Qianqian;Hu Shihai;Qi Siyuan;Wang Lina(Nursing School of Xinxiang Medical University,Xinxiang 453003,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第8期15-19,共5页
Journal of Nursing Science
基金
河南省教育厅科技攻关项目(212102310671)。
关键词
肾脏疾病
腹膜透析
肾脏替代治疗
居家治疗
健康素养
健康管理
自我管理
潜在剖面分析
renal disease
peritoneal dialysis
renal replacement therapy
home treatment
health literacy
health management
self-management
latent profile analysis
