影响狼疮性肾炎患者自我管理行为的因素：一项横断面研究。
Factors influencing self-management behaviors in persons with lupus nephritis: A cross-sectional study.
作者信息
Hanrop Sirikarn, Sriyuktasuth Aurawamon, Pongthavornkamol Kanaungnit, Piaseu Noppawan, Chawanasuntorapoj Ratana
机构信息
Faculty of Nursing, Mahidol University, Bangkok, Thailand.
Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
出版信息
Belitung Nurs J. 2024 Jun 28;10(3):351-359. doi: 10.33546/bnj.3257. eCollection 2024.
BACKGROUND
Patients with lupus nephritis experience disease symptoms and side effects from treatment. Although self-management behaviors are important in patients with this disease, there is limited research on the factors influencing these behaviors.
OBJECTIVE
This study aimed to examine the factors influencing self-management behaviors in patients with lupus nephritis.
METHODS
This cross-sectional study was conducted in 240 patients with lupus nephritis at a university hospital in Thailand between August 2019 and December 2020 using a random sampling method. Data were collected using a demographic and clinical characteristic questionnaire, Self-Management Behavior Questionnaire, Self-efficacy for Managing Chronic Disease: A 6-item Scale, Knowledge about Lupus Nephritis Questionnaire, Family Support Scale, Social Networks in Adult Life Questionnaire, and Memorial Symptom Assessment Scale for Lupus Nephritis. Descriptive statistics and multiple linear regression analyses were employed.
RESULTS
The participants reported a moderate level of self-management behaviors. Multiple regression analyses revealed that disease duration, income, symptoms, self-efficacy, knowledge, family support, social networks, and classes of lupus nephritis significantly explained 21% of the variance in self-management behaviors (R = 0.21; F = 7.73; <0.001). Family support (β = 0.32, <0.001) and symptoms (β = -0.23, <0.001) were significant determinants of self-management behaviors in patients with lupus nephritis.
CONCLUSION
The findings provide valuable insight for nurses to better understand the factors influencing self-management behaviors in patients with lupus nephritis. Patients with low family support and high symptom severity may face difficulty in performing self-management behaviors. Nurses should pay more attention to these patients and provide family-based interventions to optimize self-management behaviors in this population.
背景
狼疮性肾炎患者会经历疾病症状和治疗带来的副作用。尽管自我管理行为在这类疾病患者中很重要，但关于影响这些行为的因素的研究有限。
目的
本研究旨在探讨影响狼疮性肾炎患者自我管理行为的因素。
方法
本横断面研究于2019年8月至2020年12月在泰国一家大学医院对240例狼疮性肾炎患者采用随机抽样方法进行。使用人口统计学和临床特征问卷、自我管理行为问卷、慢性病管理自我效能：一个6项量表、狼疮性肾炎知识问卷、家庭支持量表、成人生活中的社会网络问卷以及狼疮性肾炎症状评估量表收集数据。采用描述性统计和多元线性回归分析。
结果
参与者报告的自我管理行为水平中等。多元回归分析显示，疾病持续时间、收入、症状、自我效能、知识、家庭支持、社会网络和狼疮性肾炎的类型显著解释了自我管理行为差异的21%（R = 0.21；F = 7.73；<0.001）。家庭支持（β = 0.32，<0.001）和症状（β = -0.23，<0.001）是狼疮性肾炎患者自我管理行为的重要决定因素。
结论
这些发现为护士更好地理解影响狼疮性肾炎患者自我管理行为的因素提供了有价值的见解。家庭支持低且症状严重程度高的患者在进行自我管理行为时可能会面临困难。护士应更加关注这些患者，并提供基于家庭的干预措施，以优化该人群的自我管理行为。
Zotero 插件