Xie J, Liu J, Liu M, Yan J, Ding S, Ma K
Third Xiangya Hospital, Central South University, Changsha, China; Xiangya Nursing School, Central South University, Changsha, China.
Third Xiangya Hospital, Central South University, Changsha, China.
Transplant Proc. 2019 Apr;51(3):734-741. doi: 10.1016/j.transproceed.2019.01.033. Epub 2019 Jan 9.
To explore the influential factors of kidney transplant patients' self-management, especially psychosocial variables.
This was a cross-sectional study.
Questionnaires were administered to patients with the assistance of our team members to gather sociodemographic information, medical characteristics, self-management, social support, depression, and flourishing.
The study included 483 patients, 64.4% of whom were male. The score index of the total self-management scale was 81.95% and the "social psychology" dimension had the lowest index, at 75.63%. Higher scores for flourishing, shorter length of post-renal transplantation, more social support, lower body mass index, being female, and being employed were proved to be determinants of better self-management, and flourishing was identified as having the greatest influence. Some other indicators were also related to patients' self-management, particularly age, residence, income, hypertension, renal function, and depression.
The overall self-management of KT patients was middling, and the status of psychology management was not optimistic. This emphasized the importance of psychological intervention. For further exploration, flourishing was identified as contributing to better self-management, which implied that strengthening this factor could be another method of improving self-management, except that involves enhancing of social support and reducing depression. Age was also found to have differing degrees of influence on KT patients' self-management, which implies that younger patients should receive more support in self-management.
探讨肾移植患者自我管理的影响因素，尤其是心理社会变量。
这是一项横断面研究。
在团队成员的协助下，对患者进行问卷调查，以收集社会人口学信息、医学特征、自我管理、社会支持、抑郁和幸福感等方面的数据。
该研究纳入了483名患者，其中64.4%为男性。自我管理量表总分的得分指数为81.95%，“社会心理”维度得分指数最低，为75.63%。较高的幸福感得分、肾移植后较短的时间、更多的社会支持、较低的体重指数、女性以及就业被证明是自我管理较好的决定因素，其中幸福感的影响最大。其他一些指标也与患者的自我管理有关，特别是年龄、居住地区、收入、高血压、肾功能和抑郁。
肾移植患者的总体自我管理水平中等，心理管理状况不容乐观。这凸显了心理干预的重要性。进一步探究发现，幸福感有助于更好的自我管理，这意味着除了加强社会支持和减轻抑郁外，增强这一因素可能是改善自我管理的另一种方法。研究还发现年龄对肾移植患者的自我管理有不同程度的影响，这意味着年轻患者在自我管理方面应获得更多支持。
