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张利峰, 张美芬, 张俊娥, 许红璐, 黄婉玲, 张红霞, 陈立中. 肾移植受者自我管理行为及健康状况调查[J]. 中国公共卫生, 2009, 25(11): 1374-1376. DOI: 10.11847/zgggws2009-25-11-51
引用本文: 张利峰, 张美芬, 张俊娥, 许红璐, 黄婉玲, 张红霞, 陈立中. 肾移植受者自我管理行为及健康状况调查[J]. 中国公共卫生, 2009, 25(11): 1374-1376. DOI: 10.11847/zgggws2009-25-11-51
ZHANG Li-feng, ZHANG Mei-fen, ZHANG Jun-e, . Self-management behaviors and health status of kidney transplantation recipients[J]. Chinese Journal of Public Health, 2009, 25(11): 1374-1376. DOI: 10.11847/zgggws2009-25-11-51
Citation: ZHANG Li-feng, ZHANG Mei-fen, ZHANG Jun-e, . Self-management behaviors and health status of kidney transplantation recipients[J]. Chinese Journal of Public Health, 2009, 25(11): 1374-1376. DOI: 10.11847/zgggws2009-25-11-51

肾移植受者自我管理行为及健康状况调查

Self-management behaviors and health status of kidney transplantation recipients

  • 摘要: 目的 了解肾移植受者出院后的自我管理行为、健康状况及两者之间的关系。方法 采用便利抽样法,对广东省广州市2所三甲医院接受肾移植受者进行自我管理行为、健康状况问卷调查。结果 共发放问卷230份,有效问卷203份,有效率为88.26%;肾移植受者出院后进行体能锻炼时间为(27.41±47.61)分/周,耐力锻炼时间为(117.86±98.29)分/周,认知性症状管理得分为(1.37±0.84)分,与医生的沟通得分为(1.96±0.93)分;出院后并发症发生率为72.90%。排在前5位的并发症依次为感染(32.51%)、药物性肝损害(29.10%)、高血压(25.60%)、急性排斥反应(18.72%)、糖尿病(5.90%);自我管理行为与健康状况调查问卷(SF-36)总分及其8个维度得分呈正相关(P<0.05)。结论 医护人员有必要对出院后的肾移植受者进行自我管理行为的健康教育,以提高其生命质量,减少并发症。

     

    Abstract: Objective To study the status and relationship between self-management behaviors and health condition in kidney transplantation recipients after hospitalization.Methods with convenient sampling method,kidney transplantation recipients from two hospitals in Guangzhou city were chosen and evaluated on their self-management behaviors and health condition using Self-management Behaviors Measuring Scale and SF-36.Results A total of 203 eligible questionnaires was collected from 230 kidney transplantation recipients and the eligible rate was 88.26%.In the recipients,the time spent in areobic exercise was 117.86±98.29 minutes perweek and the average time spent in streng thorstreng thening exercises was 27.41±47.61 minutes perweek.The average score of cognitive symptom management practice was 1.37±0.84,and that of communication with phy sicians was 1.96±0 93.The incidence rate of postoperative complication was 72.90%.The most common complications after kidney transplantation were infection(32.51%),medicamentous liver lesion(29.10%),hypertension(25.60%),acute rejection(18.72%),and diabetes(5.90%).There were positive correlations between self-management behaviors and total level of quality of life and its subscales(r=0.164-0.853,P<0.05).Conclusion It is necessary for medical staff to provide health education on self-management,behaviors for kidney transplantation recipients after hospitalization to improve their quality of life and to decrease the incidence of postoperative complications.

     

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