Status investigation and influencing factors of transition preparation in patients with ankylosing spondylitis in emerging adulthood
10.3760/cma.j.cn115682-20211012-04608
- VernacularTitle:成人初显期强直性脊柱炎患者过渡准备现状调查及影响因素分析
- Author:
Di ZHU
1
;
Yan CHEN
;
Qing WANG
;
Renju XU
Author Information
1. 江苏大学鼓楼临床医学院，南京 210008
- Keywords:
Cross-sectional study;
Spondylitis, ankylosing;
Emerging adulthood;
Transition preparation;
Status investigation
- From:
Chinese Journal of Modern Nursing
2022;28(24):3249-3255
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status of transition preparation in patients with ankylosing spondylitis (AS) in emerging adulthood and analyze its influencing factors.Methods:The convenient sampling method was used to select 180 patients with AS in emerging adulthood who visited the outpatient department of Drum Tower Hospital Affiliated to Nanjing Medical School from November 2020 to July 2021. General Information Questionnaire, Self-Management and Transition to Adulthood with Rx Treatment Questionnaire (STARx) , Chronic Disease Self-Management Behavior Scale, Bath Ankylosing Spondylitis Disease Activity Index Inventory (BASDAI) , Bath Ankylosing Spondylitis Disease Activity Index Scale (BASFI) and Numerical Rating Scale (NRS) were used to survey patients. Multiple linear regression analysis was used to analyze the influencing factors of transition preparation in patients with AS in emerging adulthood.Results:The transition preparation score of patients with AS in emerging adulthood was (45.23±8.25) , and the score rate was 68.5%. The results of univariate analysis showed that the transition preparation total scores of patients with different gender, age, marital status, work situation, education level, monthly family income, payment method, type of medication, duration of disease, erythrocyte sedimentation rate, C-reactive protein, nocturnal pain and overall pain were compared, and the differences were statistically significant ( P<0.05) . The results of correlation analysis showed that self-management behavior was positively correlated with transition preparation ( P<0.01) , and AS disease activity index and AS disease function index were negatively correlated with transition preparation ( P<0.01) . The results of multiple linear regression analysis showed that, age and self-management behaviors could positively predict transition preparation scores (standardized regression coefficients were 0.414 and 0.211; P<0.01) , while medication type and AS disease function index could negatively predict transition preparation scores (standardized regression coefficients were -0.246 and -0.243; P<0.01) . Conclusions:The overall level of transition preparation of patients with AS in emerging adulthood is low, which is affected by age, medication type, AS disease function index and self-management behavior. Medical staff should pay more attention to patients with young age, oral medication use, high disease function index and low level of self-management behavior and formulate systematic and personalized interventions to improve their transition preparation.
