非酒精性脂肪性肝病成人的自我管理行为：来自中国的横断面调查。
Self-management behaviours in adults with non-alcoholic fatty liver disease: a cross-sectional survey from China.
机构信息
School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China.
Department of Infectious Diseases and Hepatology, The Affiliated Hospital of Hangzhou Normal University, HangZhou, Zhejiang, China.
出版信息
BMJ Open. 2024 Feb 22;14(2):e078333. doi: 10.1136/bmjopen-2023-078333.
OBJECTIVES
The prevalence of non-alcoholic fatty liver disease (NAFLD) in China has significantly increased due to changing lifestyles and rising obesity rates. Effective self-management behaviours are crucial for reversing NAFLD. This study aimed to assess the current self-management status and the influencing factors among the Chinese NAFLD population.
DESIGN
A cross-sectional study.
SETTING
This was a study conducted between 30 May 2022 and 30 May 2023 at a tertiary care hospital.
PARTICIPANTS
A total of 380 patients diagnosed with NAFLD were included in this study. NAFLD patients included in this study were diagnosed by FibroScan and had a controlled attenuation parameter ≥248 dB/m.
PRIMARY OUTCOMES AND MEASURES
The primary outcomes were self-management, demographic characteristics and clinical features of patients with NAFLD. Self-management-related domains were assessed using the self-management questionnaire of NAFLD.
RESULTS
The study included 380 patients with an average age of 42.79±13.77 years, with 62.89% being male. The mean score on the self-management scale was 80.92±18.31, indicating a low level of self-management behaviours. Among the five dimensions of the self-management scale, lifestyle management received the highest score (10.68±2.53), while disease knowledge management received the lowest score (9.29±2.51). Furthermore, gender (β=0.118, p=0.009), education level (β=0.118, p=0.010), body mass index (BMI) (β=-0.141, p=0.002) and sleep quality (β=0.387, p<0.001) were found to influence the self-management behaviours of patients to some extent.
CONCLUSIONS
This cross-sectional survey in China revealed impaired self-management behaviours among adults with NAFLD. The study identified significant associations between self-management behaviours and gender, education level, BMI and sleep quality. Healthcare providers should focus on optimising the care of NAFLD patients to enhance their self-management behaviours.
目的
由于生活方式的改变和肥胖率的上升，中国非酒精性脂肪性肝病（NAFLD）的患病率显著增加。有效的自我管理行为对于逆转 NAFLD 至关重要。本研究旨在评估中国 NAFLD 人群的当前自我管理状况和影响因素。
设计
横断面研究。
地点
这是 2022 年 5 月 30 日至 2023 年 5 月 30 日在一家三级保健医院进行的一项研究。
参与者
共纳入 380 例经 FibroScan 诊断为 NAFLD 的患者，这些患者的受控衰减参数≥248dB/m。
主要结局和措施
主要结局是评估 NAFLD 患者的自我管理、人口统计学特征和临床特征。使用 NAFLD 自我管理问卷评估与自我管理相关的领域。
结果
本研究共纳入 380 例患者，平均年龄为 42.79±13.77 岁，其中 62.89%为男性。自我管理量表的平均得分为 80.92±18.31，表明自我管理行为水平较低。在自我管理量表的五个维度中，生活方式管理得分最高（10.68±2.53），而疾病知识管理得分最低（9.29±2.51）。此外，性别（β=0.118，p=0.009）、教育程度（β=0.118，p=0.010）、体重指数（BMI）（β=-0.141，p=0.002）和睡眠质量（β=0.387，p<0.001）在一定程度上影响了患者的自我管理行为。
结论
本项中国横断面调查显示，NAFLD 成年患者自我管理行为受损。研究发现，自我管理行为与性别、教育程度、BMI 和睡眠质量之间存在显著关联。医疗保健提供者应重点优化 NAFLD 患者的护理，以增强其自我管理行为。
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