■狼疮性肾炎患者会出现疾病症状和治疗副作用。尽管自我管理行为在这种疾病的患者中很重要,对影响这些行为的因素的研究有限。
■本研究旨在探讨狼疮性肾炎患者自我管理行为的影响因素。
■这项横断面研究是在2019年8月至2020年12月期间在泰国一家大学医院的240名狼疮性肾炎患者中进行的,采用随机抽样方法。使用人口统计学和临床特征问卷收集数据,自我管理行为问卷,管理慢性病的自我效能感:6项量表,狼疮性肾炎知识问卷,家庭支持量表,成人生活问卷中的社会网络,狼疮性肾炎纪念症状评定量表。采用描述性统计和多元线性回归分析。
■参与者报告了中等水平的自我管理行为。多元回归分析显示,疾病持续时间,收入,症状,自我效能感,知识,家庭支持,社交网络,狼疮性肾炎和类别显着解释了自我管理行为变化的21%(R2=0.21;F(8,231)=7.73;p<0.001)。家庭支持(β=0.32,p<0.001)和症状(β=-0.23,p<0.001)是狼疮性肾炎患者自我管理行为的重要决定因素。
■这些发现为护士更好地了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,症状严重程度高的患者可能难以执行自我管理行为。护士应更多关注这些患者,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。
UNASSIGNED: 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.
UNASSIGNED: This study aimed to examine the factors influencing self-management behaviors in patients with lupus nephritis.
UNASSIGNED: 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.
UNASSIGNED: 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 (R2 = 0.21; F(8,231) = 7.73; p <0.001). Family support (β = 0.32, p <0.001) and symptoms (β = -0.23, p <0.001) were significant determinants of self-management behaviors in patients with lupus nephritis.
UNASSIGNED: 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.