Potential category analysis and nursing intervention discussion of self-management ability of patients with nonalcoholic fatty liver disease
10.3760/cma.j.cn115682-20220113-00203
- VernacularTitle:非酒精性脂肪性肝病患者自我管理能力的潜在类型分析及护理干预探讨
- Author:
Lei YANG
1
;
Kai ZHU
;
Qing ZHOU
;
Xueer MA
;
Qin LI
;
Wen CAI
Author Information
1. 湖州学院生命健康学院，湖州 313002
- Keywords:
Fatty liver;
Nonalcoholic fatty liver disease;
Self-management;
Potential category analysis;
Individualized nursing
- From:
Chinese Journal of Modern Nursing
2023;29(3):336-342
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the group heterogeneity of different types of self-management ability of patients with nonalcoholic fatty liver disease (NAFLD) through potential category analysis, and to explore the differences of nursing interventions among different types of people, so as to provide reference for intervention research.Methods:From March to August 2021, NAFLD patients undergoing physical examination and hospitalization in the First Affiliated Hospital of Xinjiang Medical University were selected as the research object by convenience sampling. The General Information Questionnaire, Health Promoting Lifestyle Profile-Ⅱ (HPLP-Ⅱ) and Self-management Behavior Scale for Patients with NAFLD were used to investigate the patients, and the height and weight of the patients were also measured. A total of 1 189 questionnaires were distributed and 1 124 valid questionnaires were recovered.Results:Self-management ability of NAFLD patients were divided into five types, including good self-management group (32.03%) , lack of self-management-medium level psychological cognition group (23.84%) , lack of health promoting behavior group (11.30%) , lack of disease-cognition-life management group (27.31%) , serious lack of self-management-medium level stress group (5.52%) . Taking the good self-management group as a reference, the results showed that age, marital status, occupation, education level, average monthly income, treatment methods, smoking, body mass index (BMI) , sleep quality, and concomitant diseases were the influencing factors that caused the potential category differences of self-management behavior in NAFLD patients, and the differences were statistically significant ( P<0.05) . Conclusions:Each potential category of NAFLD patients' self-management ability has specificity, which suggests that the formulation of nursing interventions for NAFLD patients in the future should be based on the heterogeneity of various types of groups, so as to improve the effectiveness of self-management intervention.
