维持性血液透析患者自我管理行为及其影响因素的研究

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1、万方数据天津医科大学硕士学位论文Abstract．objectiveTodescribeself-managementbehaviorsinpatientswithChronicRenalFailure(CRF)undergoingmaintenancehemodialysisanddeterminefactorswhichinfluenceself-managementbehaviors．MethodsAdescriptivesurveywasconducted．Participantswererecruitedbyconvenientsamplingfr

2、omahemodialysisclinicinTianjinFirstCenterHospitalbetweenJuly2012andJune2013．Theself-reportquestionnaireswereusedtomeasurekeyvariablesincludingself-managementbehaviors，self-efficacy，anxiety，depressionandsocialsupport．Socio-demograpNcandclinicalcharacteristicswereobtainedfrommedicalr

3、ecords．ThedatawerecollectedwithSelf-managementBehaviorsQuestionnaireofhemodialysisPatients，Self-efficacyscaleformanagingc11ronicdisease，Self-RatingAnxietyScale(SAS)，Self-RatingDepressionScale(SDS)andSocialSupportRatingScale(SSDS)．Theassociationbetweenthesevariablesandself-managemen

4、tbehaviorswereexaminedbyT-Test，ANOVA，NonparametricTestandSpearmancorrelation．Amultiplelinearregressionanalysiswasperformedtoidentifypotentialfactorsinfluencingself-managementbehaviorsinpatientsreceivingmaintenancehemodialysis．Results1．Atotalof175patientsreceivinghemodialysiswereenr

5、olled．Themeanscoreofself-managementbehaviorsWas64．93士9．498(range40to86)．Themeanscoreoffoursubscaleswere23．72士5．769forfluidrestriction．9．46士2．693fordietarymanagement，15．49士2．832forphysicalactivity,and16．25+3．281forphysicalsignandpsychosocialbehaviormanagement．Theaverageitemscoresofs

6、ubscaleswere2．68forfluidrestriction，1．95fordietarymanagement，2．97forphysicalactivity,and2．74forphysicalsignandpsychosocialbehaviormanagement．2．Multiplelinerregressionanalysisforoverallself-managementbehaviorsrevealedself-efficacy(B=0．511，P=o．ooo)，educationallevel(B=0．458，P=o．ooo)，s

7、ex(13=0．302，P=O．013)anddepression(B=-0．081，尸=0．038)wereindependentIIl万方数据predictorswhichtogetherexplained33．9％ofthevarianceinself-managementbehaviors．Regressionanalysisforfourdimensionsrespectivelyindicated：sex(B=0．391，尸：0．005)．self-efficacy(B=0．319，尸=0．029)，residualrenalfunction(B

8、=-0．252，P=0．047)weresignif