摘要
目的 调查慢性肾脏病患者自我调节疲劳现状及影响因素。方法 选取2020年1月至2022年12月首次在合肥市第八人民医院就诊的250例慢性肾脏病患者为研究对象。采用一般资料调查表、一般自我效能感量表、简易疾病感知问卷、自我调节疲劳量表、医学应对方式问卷调查患者自我调节疲劳现状,并采用多元线性回归分析进行影响因素分析。结果 250例患者自我调节疲劳量表总分为(56.14±13.68)分;Pearson分析中,患者自我调节疲劳量表得分与疾病感知问卷总分呈正相关(r=0.672,P<0.001),与一般自我效能感总分呈负相关(r=-0.616,P<0.001),与医学应对方式中面对呈负相关(r=-0.476,P<0.001)、回避呈正相关(r=0.472,P<0.001)、屈服呈正相关(r=0.630,P<0.001)。不同年龄、受教育程度、家庭人均年收入、医疗支付方式、合并症数量、慢性疼痛患者的自我调节疲劳量表得分比较,差异有统计学意义(P<0.05);受教育程度,简易疾病感知问卷,一般自我效能感量表,合并症数量、慢性疼痛,家庭年收入,医学应对方式问卷中面对、回避、屈服是慢性肾脏病患者自我调节疲劳的影响因素(R~2=0.797,调整后R~2=0.775,F=101.362,P<0.001)。结论 慢性肾脏疾病患者自我调节疲劳程度较高,医护人员应积极帮助其提升自我效能感。
Objective To investigate the status and influencing factors of self-regulated fatigue in patients with chronic kidney disease.Methods A total of 250 patients with chronic kidney disease who were treated for the first time in the Hefei Eighth People’s Hospital from January 2020 to December 2022 were selected as the study subjects.The status of patients’self-regulated fatigue was investigated by general data questionnaire,general self-efficacy scale,brief illness perception questionnaire,self-regulated fatigue scale,and medical coping modes questionnaire,and the influencing factors were analyzed by multiple regression analysis.Results The self-regulated fatigue scale total score of 250 patients was(56.14±13.68)points.In Pearson analysis,patients’self-regulated fatigue score was positively correlated with the total score of brief illness perception questionnaire(r=0.672,P<0.001),negatively correlated with the total score of general self-efficacy scale(r=-0.616,P<0.001),and negatively correlated with the face in medical coping modes questionnaire(r=-0.476,P<0.001),it was positively correlated with avoidance(r=0.472,P<0.001)and yield(r=0.630,P<0.001).The self-regulation fatigue scale scores of patients with chronic pain were compared among different gender,age,education level,family per capita annual income,medical payment method,number of comorbidities,and chronic pain or not,the differences were statistically significant(P<0.05).Education level,simple disease perception questionnaire,general self-efficacy scale,number of comorbidities,chronic pain,annual household income,face,avoidance and submission in the medical coping modes questionnaire were the influencing factors of self-regulated fatigue in patients with chronic kidney disease(R2=0.797,adjusted R2=0.775,F=101.362,P<0.001).Conclusion Patients with chronic kidney disease have a high degree of self-regulated fatigue,and medical staff actively encourage them to improve their self-efficacy.
作者
张修云
陈晓燕
叶杨梅
ZHANG Xiuyun;CHEN Xiaoyan;YE Yangmei(Department of Nephrology,Hefei Eighth People’s Hospital,Anhui Province,Hefei238000,China)
出处
《中国医药导报》
CAS
2024年第14期50-53,共4页
China Medical Herald
关键词
慢性肾脏病
自我调节疲劳
线性回归分析
影响因素
Chronic kidney disease
Self-regulatory fatigue
Linear regression analysis
Influencing factors
