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Research on self-management status quo and influencing factors of patients with non-alcoholic fatty liver disease |
LIANG Haili1,2 WANG Hui1,2 WANG Ting1,2 TAO Junxiu1,2 ZHOU Qiong1,2 ZHANG Chuhua1,2 |
1.Department of Hepatology, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Province, Wuhan 430061, China;
2.Hubei Provincial Institute of Traditional Chinese Medicine, Hubei Province, Wuhan 430074, China |
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Abstract Objective To investigate the self-management situation and influencing factors of patients with nonalcoholic fatty liver disease (NAFLD). Methods Using the convenient sampling method, a total of 217 patients with NAFLD were recruited from the hepatology research clinic of a top three hospital in Wuhan from March to August 2017. The self-management scale, the chronic illness resources survey (CIRS) and general self-efficacy scale (GSES) were used to investigated the patients. Results In self-management of NAFLD patients, the scores of daily life management were (32.36±4.72) points. There were statistically significant differences in the self-management scores of patients with NAFLD in different genders, education degrees and annual income (P < 0.05). The self-management level of patients with NAFLD was positively correlated with various dimensions of chronic disease resource utilization and general self-efficacy (r > 0, P < 0.05). Annual income, gender, workplace, organizational structure, health care team and media policies, and general self-efficacy were the main factors affecting NAFLD self-management (P < 0.05). Conclusion The self-management level of patients with NAFLD is affected by many factors. Nursing staff should implement targeted interventions against controllable factors to promote patient enhancing the level of self-management.
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