Department of Infectious Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou City, China.
Department of Neurology, The First Affiliated Hospital of Wenzhou Medical University, No.2 Fuxue Lane, Lucheng District, Wenzhou City, Zhejiang Province, 325000, China.
J Health Popul Nutr. 2024 Aug 31;43(1):134. doi: 10.1186/s41043-024-00618-z.
Metabolic dysfunction-associated steatotic liver disease (MASLD) is a common chronic liver disease.
This study aimed to investigate the self-management ability of patients with MASLD, analyse related factors that may affect self-management ability and evaluate the impact of this ability on readmission.
The study recruited patients with MASLD admitted to the Department of Infectious Diseases, First Affiliated Hospital of Wenzhou Medical University, between February and October 2021 using the random sampling method. The MASLD diagnosis was based on the guidelines for the prevention and treatment of MASLD. An analysis of patients' self-management ability was conducted using the self-management ability scale for patients with MASLD. Multiple linear regression analysis was used to analyse the factors influencing this self-management ability, and the readmission rate within 1 year was tracked. The patients were rediagnosed as having MASLD upon readmission to the hospital.
A total of 241 baseline data items and self-management scale scores for patients with MASLD were collected and investigated. In our study, the normal score range for the self-management scale was 31-155 points, and the self-management scale scores for patients with MASLD was 91.24 ± 16.98, with a low level of self-management accounting for 52.7% and a medium level accounting for 44.8%. The results of the multiple linear regression analysis revealed that marital status, smoking history, fatty liver severity and education were the main factors affecting self-management ability (P < 0.05). The readmission rates were 18.25%, 7.48% and 0%, respectively, after 1 year of follow-up; the difference in survival distribution was statistically significant (P < 0.05).
The self-management ability of patients with MASLD is relatively low and is primarily influenced by factors such as marital status, smoking history, the severity of fatty liver disease and level of education, which also affect the readmission rate of patients within 1 year.
代谢相关脂肪性肝病（MASLD）是一种常见的慢性肝病。
本研究旨在探讨 MASLD 患者的自我管理能力，分析可能影响自我管理能力的相关因素，并评估该能力对再入院的影响。
本研究采用随机抽样法，于 2021 年 2 月至 10 月招募了温州医科大学第一附属医院感染科收治的 MASLD 患者。MASLD 诊断基于 MASLD 的防治指南。采用 MASLD 患者自我管理能力量表分析患者的自我管理能力。采用多元线性回归分析影响自我管理能力的因素，并跟踪患者在 1 年内的再入院率。患者在再次入院时被重新诊断为 MASLD。
共收集并调查了 241 例 MASLD 患者的基线数据和自我管理量表评分。本研究中，自我管理量表的正常评分范围为 31-155 分，MASLD 患者的自我管理量表评分为 91.24±16.98 分，自我管理能力低的占 52.7%，中等水平的占 44.8%。多元线性回归分析结果表明，婚姻状况、吸烟史、脂肪肝严重程度和教育程度是影响自我管理能力的主要因素（P<0.05）。随访 1 年后，再入院率分别为 18.25%、7.48%和 0%，生存分布差异有统计学意义（P<0.05）。
MASLD 患者的自我管理能力相对较低，主要受婚姻状况、吸烟史、脂肪肝严重程度和教育程度等因素的影响，这些因素也影响患者在 1 年内的再入院率。
