Self-management behavior of maintenance hemodialysis patients with hypertension:a latent profile analysis
10.3969/j.issn.1009-0754.2025.03.015
- VernacularTitle:维持性血液透析合并高血压患者自我管理行为的潜在剖面分析
- Author:
Wen SONG
1
;
Yanqiu WENG
;
Xinrui LIANG
;
Jiao YU
;
Yan XIE
;
Qiqi ZHAO
Author Information
1. 200433 上海,海军军医大学第一附属医院血液净化中心
- Keywords:
Hypertension;
Self-management behavior;
Medication compliance;
Self-efficacy;
Latent profile analysis
- From:
Journal of Navy Medicine
2025;46(3):280-285
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the potential characteristics of self-management behavior in maintenance hemodialysis patients with hypertension and determine the influencing factors of different characteristics,so as to provide reference for improving self-management behavior.Methods A total of 192 maintenance hemodialysis patients with hypertension who received dialysis in The First Hospital Affiliated to Naval Medical University from May to September 2022 were enrolled by convenience sampling.A general information questionnaire,hypertension self-management behavior scale,Morisky medication adherence scale-8 items,and medication adherence self-efficacy scale-revision(MASES-R)were used to investigate the potential categories of self-management behavior in maintenance hemodialysis patients with hypertension,and the predictive indicators of each category were analyzed by latent profile analysis.Results Three latent categories of self-management behavior in maintenance hemodialysis patients with hypertension were identified:low self-management behavior,moderate self-management behavior,and high self-management behavior.Medication adherence and medication adherence self-efficacy were predictors of high self-management behavior.Monitoring blood pressure once daily was a predictor of moderate self-management behavior.Conclusion There is significant self-management characteristics among maintenance hemodialysis patients with hypertension.These characteristics and risk factors should be identified early to help patients improving their self-management.
