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ID:32138264
大小:2.51 MB
页数:80页
时间:2019-01-31
《维持性血液透析患者自我管理行为及其影响因素的研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
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
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