Self-management and associated factors among patients with end-stage renal disease undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia
Self-management and associated factors among patients with end-stage renal disease undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia
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DOI：
10.2147/ijnrd.s184671
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发表时间：
2018-01-01
影响因子：
2
通讯作者：
Mengistu, Daniel
中科院分区：
文献类型：
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作者：
Gela, Debela;Mengistu, Daniel
终末期肾病（ESRD）患者面临着由疾病和透析并发症引起的多方面问题，这些问题需要患者在医疗保健专业人员提供的管理之上进行一致和有效的自我管理。然而，对于研究地区接受血液透析的ESRD患者的自我管理水平及其影响因素了解甚少。因此，本研究的目的是评估在埃塞俄比亚亚的斯亚贝巴卫生机构接受血液透析的ESRD患者的自我管理和相关因素。方法：采用基于机构的横断面调查方法，于2016年3月至4月在6家私立医疗机构招募169名接受血液透析的ESRD患者。数据收集使用访谈者管理的结构化问卷，询问患者的自我管理和相关因素。数据录入EpiData Version 3.1，采用SPSS Version 22.0统计软件进行描述性、相关性和logistic回归分析。结果：患者平均年龄49.86±15.58岁。受访者以男性居多（69.8%），已婚占65.7%。半数受访者（50.3%）具有大专及以上学历。绝大多数（93.5%）的血液透析时间少于5年，53.3%的人每周透析2次。超过一半（57.4%）的患者自我管理水平较低。自我管理与受教育程度（调整OR [AOR] =6.25, 95% CI =1.40, 27.85）、知识（AOR =5.5, 95% CI =2.15, 14.03）、自我效能感（AOR =4.73, 95% CI =1.95, 11.48）呈正相关，具有统计学意义；与焦虑（AOR =3.19, 95% CI =1.28, 7.95）、抑郁(AOR =2.68, 95% CI =1.01, 7.05， P
Introduction: Patients with end-stage renal disease (ESRD) face multi faceted problems arising from complications of the disease and dialysis that require consistent and, effective self-management from the patients' side, on top of the management offered by health care professionals. However, little is known about the level of self-management and influencing factors among patients with ESRD undergoing hemodialysis in the study area. Therefore, the aim of this study was to assess self-management and associated factors of patients with ESRD undergoing hemodialysis at health facilities in Addis Ababa, Ethiopia.Methods: An institution-based cross-sectional survey was used to recruit 169 patients with ESRD undergoing hemodialysis from six private health facilities between March and April 2016. Data were collected using an interviewer-administered structured questionnaire inquiring about patients' self-management and associated factors. Data were entered into EpiData Version 3.1 and analyzed using the descriptive, correlation, and logistic regression using the SPSS Version 22.0 statistical software.Results: The mean age of the patients was 49.86 +/- 15.58 years. The majority of the respondents (69.8%) were male, and 65.7% of them were married. Half of the respondents (50.3%) had diploma and above educational level. The great majority of the respondents (93.5%) were on hemodialysis for less than 5 years, and 53.3% of them underwent dialysis twice a week. More than half (57.4%) of the patients had low levels of self-management. There were statistically significant positive associations between self-management and education (adjusted OR [AOR] =6.25, 95% CI =1.40, 27.85), knowledge (AOR =5.5, 95% CI =2.15, 14.03), and self-efficacy (AOR =4.73, 95% CI =1.95, 11.48), while there were statistically significant negative associations between self-management and anxiety (AOR =3.19, 95% CI =1.28, 7.95) and depression (AOR =2.68, 95% CI =1.01, 7.05, P