青光眼日间手术患者自我管理行为现状及相关因素分析OA
Influence factor of self-management among glaucoma patients undergoing day surgery
目的:探讨青光眼日间手术患者的自我管理行为现状及影响因素分析.方法:采用便利抽样法选取2021年9月—2022年5月于广州市某三级甲等眼科专科医院就诊的223例青光眼日间手术患者.采用一般资料调查表、青光眼自我管理行为量表、慢性疾病自我效能量表和青光眼知识学习问卷进行问卷调查.结果:青光眼日间手术患者的自我管理行为得分为(54.03±6.95)分,其中生活调整维度得分最低.慢性病自我效能与自我管理行为呈正相关(r=0.368,P<0.001).疾病知识与自我管理行为无显著相关性(r=0.077,P=0.252).多因素线性回归分析结果显示,患者的文化程度(P<0.001)和自我效能(P=0.028)是自我管理行为的影响因素,可解释自我管理行为总变异的12.4%.结论:青光眼日间手术患者具有良好的自我管理行为,较低的自我效能和文化程度是自我管理行为的危险因素,因此应优先提高患者的自我效能,并提供个性化教育.
Objective:To determine self-management and its association with self-efficacy and knowledge among glaucoma patients undergoing day surgery.Methods:A total of 223 glaucoma patients were recruited from September 2021 to May 2022and they were investigated with the Glaucoma Self Management Questionnaire(GSMQ),The Self-Efficacy in Chronic Disease Scale(SECD-6),and the glaucoma knowledge questionnaire.Results:Of the 223 study participants,the study population had a total GSMQ score of 54.03±6.95 with the lowest score found in the life adjustment dimension.The total SECD-6 score was showing a significantly positive correlation with the total GSMQ score(r=0.368,P<0.001).The total score of disease knowledge was without significant correlation with the total GSMQ score(r=0.077,P=0.252).Multivariate linear regression analysis showed that self-efficacy(P<0.001)and education level was independently associated with self-management(P=0.028).Conclusions:Glaucoma patients undergoing daytime surgery demonstrated good overall self-management,yet further improvement was required in terms of life adjustment.Low self-efficacy and educational level were identified as risk factors for self-management.Therefore,self-management programs should prioritize enhancing patients'self-efficacy and delivering individualized education.
徐晓叶;邓诗裔;杨春艳;张宇;姚抒予;黄文敏
中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州 510060
临床医学
青光眼日间手术自我管理
glaucomaday surgeryself-management
《眼科学报》 2024 (003)
129-136 / 8
广东省医学科学技术研究基金(A2022301).This work was supported by the Medical Scientific Research Foundation of Guangdong(A2022301).
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