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目的:了解慢性肾功能衰竭患者自我管理现状,为健康教育提供指导。方法:采用自行设计一般调查表、慢性病自我管理研究测量表及简易疾病认知问卷,对医院肾脏内科收治的98例慢性肾功能衰竭患者进行现状调查。结果:98例患者慢性病自我管理研究测量表平均得分为(14.65±5.10)分;该量表维度中运动锻炼维度、与医生沟通、认知性症状管理实践得分平均分依次为(6.57±2.16)分、(2.19±1.62)分、(5.79±2.41)分;患者对疾病认知知晓得分平均分为(53.58±8.20)分,对疾病的知晓率为34.67%。结论:慢性肾功能衰竭患者在自我管理能力上存在缺陷,对慢性肾衰的知晓程度处于中下等水平。医护人员应动态性评估患者的自我管理能力及对疾病的知晓程度,以便采取针对性措施,提高患者自我管理能力,改善患者生活质量。
Objective: To understand the status of self-management in patients with chronic renal failure and provide guidance for health education. Methods: Ninety-eight patients with chronic renal failure who were admitted to Department of Nephrology of the hospital were surveyed by self-designed general questionnaire, chronic disease self-management study questionnaire and simple disease cognition questionnaire. Results: The mean score of self-management of chronic disease self-management in 98 patients was (14.65 ± 5.10). The scale of exercise physical exercise, communication with doctors and cognitive symptom management practice scores were (6.57 ± 2.16) (2.19 ± 1.62) points and (5.79 ± 2.41) points respectively. The patients’ awareness of disease was divided equally into (53.58 ± 8.20) points and the awareness of disease was 34.67%. CONCLUSIONS: Patients with chronic renal failure have a deficit in self-management skills and have a lower level of awareness of chronic renal failure. Health care workers should be dynamic assessment of patient self-management skills and awareness of the disease in order to take targeted measures to improve patient self-management and improve patient quality of life.