Influencing factors and coping strategies of self-management ability in patients undergoing continuous ambulatory peritoneal dialysis

影响接受持续性非卧床腹膜透析患者自我管理能力的因素和应对策略

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Abstract

OBJECTIVE: We aimed to explore the influencing factors and coping strategies of self-management ability in patients undergoing continuous ambulatory peritoneal dialysis. METHOD: Stratified random sampling was employed to select 160 patients receiving continuous ambulatory peritoneal dialysis between August 2023 and October 2024. Data investigation was accomplished using the general data questionnaire, the 13-item Sense of Coherence Scale, the Self-Perceived Burden Scale, the Social Support Rating Scale, and the Self-Management Questionnaire. RESULTS: The Self-Management Questionnaire score was (57.41 ± 4.87) points in the 160 patients. Significant differences were observed in Self-Management Questionnaire scores among patients with different ages, education levels, Self-Perceived Burden Scale scores, monthly family incomes, medical expense payment modes, 13-item Sense of Coherence scores, Social Support Rating Scale scores, and number of times they received health educational guidance received (P < 0.05). Age, education level, Self-Perceived Burden Scale score, monthly family income, medical expense payment mode, 13-item Sense of Coherence score, Social Support Rating Scale score, and number of times they received health educational guidance on received were the influencing factors of Self-Management Questionnaire scores (P < 0.05). CONCLUSION: Patients receiving continuous ambulatory peritoneal dialysis have medium-level self-management ability, which needs to be enhanced. Medical staff should pay attention to patients with old ages, low education levels, poor economic conditions.

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