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中国西部干眼患者自我管理能力的影响因素

Influencing factors of self-management ability among dry eye patients in west China.

作者信息

Ren Jie, Zhang Xin, Zeng Ji-Hong, Gao Yun-Xia

机构信息

Department of Ophthalmology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan Province, China.

出版信息

Int J Ophthalmol. 2024 Sep 18;17(9):1621-1627. doi: 10.18240/ijo.2024.09.07. eCollection 2024.

Abstract

AIM

To investigate the current situation and influencing factors of self-management ability in dry eye patients in west China.

METHODS

A total of 265 patients clinically diagnosed with dry eye received a convenience survey questionnaire at West China Hospital of Sichuan University. All participants completed the rating scale of health self-management skill for adults (AHSMSRS), Huaxi Emotional-Distress Index (HEI), e-health literacy scale (e-HEALS) and Brief Illness Perception Questionnaire (Brief-IPQ). A generalized linear model was employed to establish a multivariate linear model with demographic data, psychological state, e-HEALS, and illness perception as independent variables and health self-management skill score as the dependent variable.

RESULTS

The mean score for health self-management skill was 165.58±15.79. Multivariate analysis revealed that advanced age, better illness perception and improved psychological state were associated with better health self-management ability among dry eye patients. Furthermore, the health self-management ability of patients with a disease duration less than 1y was found to be higher compared to those with a disease duration exceeding 1y.

CONCLUSION

The health self-management ability of dry eye patients in west China is relatively high. Age, duration of disease, illness perception and psychological state are the influencing factors on the health self-management ability of dry eye patients.

摘要

目的

调查中国西部干眼患者自我管理能力的现状及影响因素。

方法

共有265例临床诊断为干眼的患者在四川大学华西医院接受了便利调查问卷。所有参与者均完成了成人健康自我管理技能评定量表(AHSMSRS)、华西情绪困扰指数(HEI)、电子健康素养量表(e-HEALS)和简易疾病认知问卷(Brief-IPQ)。采用广义线性模型,以人口统计学数据、心理状态、e-HEALS和疾病认知作为自变量,健康自我管理技能得分作为因变量,建立多元线性模型。

结果

健康自我管理技能的平均得分为165.58±15.79。多因素分析显示,高龄、更好的疾病认知和改善的心理状态与干眼患者更好的健康自我管理能力相关。此外,发现病程小于1年的患者的健康自我管理能力高于病程超过1年的患者。

结论

中国西部干眼患者的健康自我管理能力相对较高。年龄、病程、疾病认知和心理状态是干眼患者健康自我管理能力的影响因素。

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