Influencing Factors of Self-Management Behavior Among Chinese Patients With Chronic Disease: A Cross-Sectional Study.

IF 1.7 4区医学 Q2 NURSING

Public Health Nursing Pub Date : 2024-11-21 DOI:10.1111/phn.13482

Zhiqi Liang, Yingying Shi, Yunjie Zhang, Hanyi Zhang, Yu Zhuo, Ningning Lv, Gexin Gao, Jufang Li

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Abstract

Aims: This study aimed to describe the self-management behavior levels and further explore its influencing factors among patients with chronic disease.

Design: A cross-sectional study.

Methods: 460 convenient samples of patients with chronic disease in Zhejiang Province were investigated using a demographic characteristics questionnaire, the Lubben Social Network Scale (LSNS-6), and the Chronic Disease Self-Management Behavior Scale between October and December 2023. Data were analyzed using descriptive analysis, t-test, one-way analysis of variance, Pearson correlation analysis, Spearman correlation, and hierarchical multiple regression analysis.

Results: The mean score of the self-management behavior of the patients with chronic disease was 32.27 (standard deviation [SD] = 8.67). Hierarchical multiple regression analysis indicated that self-management behavior among patients with chronic disease was influenced by the individual factor (frequency of health check-ups), the family factors (number of children, spouse status, and family network), and the social factor (place of residence).

Conclusions: The self-management behavior among patients with chronic disease was at a moderate level and needed further improvement. The self-management behavior among patients with chronic disease was influenced by three kinds of factors. Specifically, for the individual factor, patients who had a higher frequency of health check-ups reported better self-management behavior; for the family factors, patients who had no spouse, few children, and a strong family network showed better self-management behavior; for the social factor, patients living in urban areas had better self-management behavior.

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中国慢性病患者自我管理行为的影响因素：一项横断面研究

目的：本研究旨在描述慢性病患者的自我管理行为水平，并进一步探讨其影响因素：方法：在2023年10月至12月期间，采用人口学特征问卷、卢本社会网络量表（LSNS-6）和慢性病自我管理行为量表对浙江省460例慢性病患者进行调查。数据分析采用了描述性分析、t检验、单因素方差分析、皮尔逊相关分析、斯皮尔曼相关分析和层次多元回归分析等方法：慢性病患者自我管理行为的平均得分为 32.27（标准差 [SD] = 8.67）。层次多元回归分析表明，慢性病患者的自我管理行为受个人因素（健康检查频率）、家庭因素（子女数量、配偶状况和家庭网络）和社会因素（居住地）的影响：慢性病患者的自我管理行为处于中等水平，需要进一步改善。慢性病患者的自我管理行为受到三种因素的影响。具体而言，在个人因素方面，健康检查频率较高的患者自我管理行为较好；在家庭因素方面，无配偶、子女少、家庭网络强大的患者自我管理行为较好；在社会因素方面，居住在城市地区的患者自我管理行为较好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Nursing 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.50

自引率

4.80%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.