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慢性肾脏病患者自我调节疲劳现状及影响因素分析

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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(R2=0.797,调整后R2=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.
Analysis of status and influencing factors of self-regulation fatigue in pa-tients with chronic kidney disease
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 in-fluencing 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 cor-related 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,e-ducation 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.

Chronic kidney diseaseSelf-regulatory fatigueLinear regression analysisInfluencing factors

张修云、陈晓燕、叶杨梅

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合肥市第八人民医院肾脏内科,安徽合肥 238000

慢性肾脏病 自我调节疲劳 线性回归分析 影响因素

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(14)
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