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肾移植受者自我管理行为的现状调查
引用本文:李晓丹,曲星珂,肖瑞芳,孟春英.肾移植受者自我管理行为的现状调查[J].中华健康管理学杂志,2013(4):226-228.
作者姓名:李晓丹  曲星珂  肖瑞芳  孟春英
作者单位:北京大学人民医院泌尿外科,100044
摘    要:目的调查肾移植受者自我管理行为现状。方法选择2009年9月至2012年6月门诊就诊的97例肾移植受者,按照手术时间分为3组,分别是。肾移植术后≤6个月、6~12个月及≥12个月,采用肾移植受者自我管理行为量表调查其自我管理行为,通过方差分析比较3组受者自我管理行为现状。结果97例肾移植受者中,术后≤6个月组32例,术后6~12个月组31例,术后≥12个月组34例;3组患者的自我管理行为得分分别为(100.1±7.0)分、(99.0±7.3)分、(91.3±5.8)分,组间比较,差异有统计学意义(F=3.53,P=0.03)。饮食方面,术后6~12个月组得分最高,组间比较差异有统计学意义(F=16.41,P=0.00);躯体活动方面,术后≤6个月组得分最高,3组患者比较差异有统计学意义(F=11.50,P=0.00)。肾移植术后≤6个月、6~12个月及≥12个月3组受者在掌握常用药物作用与副作用得分分别为(2.00±0.00)分、(2.03±0.18)分、(2.41±0.50)分,掌握常规化验值得分分别为(2.00±0.00)分、(2.05±0.16)分、(2.82±0.39)分,保护皮肤防晒方面得分分别为(3.09±0.30)分、(3.03±0.91)分、(2.85±0.36)分。结论肾移植术后≥12个月受者的自我管理行为较差,需要医护人员进行相关的健康教育。

关 键 词:肾移植  健康调查  随访研究

Self-management behavior of renal transplant recipients
Authors:LI Xiao-dan  QU Xing-ke  XIAO Rui- fang  MENG Chun-ying
Institution:.( Department of Urology, Peking University People's Hospital, Beijing 100044, China)
Abstract:Objective To investigate self-management behaviors of kidney transplantation recipients after discharge. Methods A total of 97 kidney transplantation recipients were recruited from a teaching hospital of Peking University From September 2009 to June 2012, and all eligible subjects were then assigned to 3 groups: post-transplantation less than 6 months group (group A) ,post-transplantation 6-12 months group (group B) ,and post-transplantation more than 12 months group (group C). The subjects were required to complete self-management scale for renal transplant recipients. ANOVA was used for data analysis. Results There were 32 patients in group A ,31 in group B, and 34 in group C. Self-management behavior score of the participants of the three groups was 100. 1 ± 7.0,99. 0 ± 7.3 and 91.3 ± 5.8, respectively ( F = 3.53, P = 0. 03). In terms of diet, group B got the highest score ( F = 16.41, P = 0. 00 ). However, group A showed excellence in physical activities ( F = 11.50, P = 0. 00). For three groups, score of drug effect and side effect was 2. 00 ± 0. 00,2. 03 ± 0. 18, and 2.41 ± 0. 50 ; score of routine laboratory values was 2. 00 ± 0. 00,2. 05 ±- 0. 16 and 2. 82 ±0.39; and score of skin protection was 3.09 ±0.30,3.03 ±0.91,and 2. 85 ±0.36, respectively. Conclusions Post-transplantive self-management behavior of patients who completed the surgery for more than 12 months may not be better than others. Healthcare professionals need to improve patients' self-management through health education.
Keywords:Kidney transplantation  Health surveys  Follow-up studies
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