Zhu Yueying, Chen Ru, Han Hang, Lin Xiuli, Shu Meichun
The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 315002, Zhejiang, China.
J Health Popul Nutr. 2025 Jan 8;44(1):6. doi: 10.1186/s41043-024-00714-0.
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.
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.
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).
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.
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。
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。
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)。
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。