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代谢功能障碍相关脂肪性肝病患者家庭功能与自我管理能力的相关性

Correlation between family function and self-management abilities in patients with metabolic dysfunction-associated steatotic liver disease.

作者信息

Zhu Yueying, Chen Ru, Han Hang, Lin Xiuli, Shu Meichun

机构信息

The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 315002, Zhejiang, China.

出版信息

J Health Popul Nutr. 2025 Jan 8;44(1):6. doi: 10.1186/s41043-024-00714-0.

Abstract

OBJECTIVE

This study aims to evaluate the current state of family function and self-management abilities in patients with metabolic dysfunction-associated steatotic liver disease (MASLD) and analyze the correlation between the two.

METHODS

Baseline data were collected from 243 patients with MASLD, utilizing the Family Care Index and Self-Management Scale. Multiple linear regression analysis was employed to assess factors influencing self-management in these patients.

RESULTS

The mean score on the Self-Management Scale for the 243 MASLD patients was (92.74 ± 17.22), while the Family Function Scale score was (5.99 ± 1.61). Spearman correlation analysis indicated a positive correlation between family function and scores in disease prevention and control, daily living, disease knowledge, psychological awareness, and unhealthy lifestyle (rs = 0.220, 0.198, 0.227, 0.149, 0.257, 0.266; P < 0.05). Multiple linear regression analysis identified several factors affecting self-management abilities in MASLD patients: smoking history (β'=-0.317), marital status (β'=0.292), family function (β'=0.279), educational level (β'=0.157), severity of fatty liver (β'=0.144), and gender (β'=-0.126) (P < 0.05).

CONCLUSION

A significant proportion of MASLD patients exhibit family function impairment, which severely affects their self-management abilities. Interventions aimed at improving family function in MASLD patients are necessary to enhance self-management behaviors and improve disease prognosis.

摘要

目的

本研究旨在评估代谢功能障碍相关脂肪性肝病(MASLD)患者的家庭功能和自我管理能力现状,并分析两者之间的相关性。

方法

采用家庭关怀指数和自我管理量表,收集243例MASLD患者的基线数据。采用多元线性回归分析评估影响这些患者自我管理的因素。

结果

243例MASLD患者自我管理量表的平均得分为(92.74±17.22),家庭功能量表得分为(5.99±1.61)。Spearman相关性分析表明,家庭功能与疾病预防控制、日常生活、疾病知识、心理认知和不健康生活方式得分呈正相关(rs = 0.220、0.198、0.227、0.149、0.257、0.266;P < 0.05)。多元线性回归分析确定了影响MASLD患者自我管理能力的几个因素:吸烟史(β'=-0.317)、婚姻状况(β'=0.292)、家庭功能(β'=0.279)、教育程度(β'=0.157)、脂肪肝严重程度(β'=0.144)和性别(β'=-0.126)(P < 0.05)。

结论

相当一部分MASLD患者存在家庭功能受损,这严重影响了他们的自我管理能力。有必要对MASLD患者采取旨在改善家庭功能的干预措施,以增强自我管理行为,改善疾病预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d93/11714989/79fe75aedddd/41043_2024_714_Fig1_HTML.jpg

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