《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2022, Vol. 28 ›› Issue (6): 716-724.doi: 10.3969/j.issn.1006-9771.2022.06.014
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ZHANG Miaoyuan,HE Ying(),LI Xiaoxia,PENG Min,ZHANG Lei,LIU Shuying,KONG Ying
Received:
2022-01-25
Revised:
2022-04-15
Published:
2022-06-25
Online:
2022-07-05
Contact:
HE Ying
E-mail:heying0117@csu.edu.cn
Supported by:
CLC Number:
ZHANG Miaoyuan,HE Ying,LI Xiaoxia,PENG Min,ZHANG Lei,LIU Shuying,KONG Ying. Self-management status and related factors of patients with intermittent clean catheterization after spinal cord injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 716-724.
"
维度 | 得分 |
---|---|
得分最高的5个条目 | |
13.我会注意个人卫生习惯,如勤洗手 | 4.12±0.92 |
19.我会随时保持会阴部皮肤干燥清洁 | 4.05±0.97 |
25.每次清洁间歇导尿前,我会彻底清洁双手和尿道口 | 4.01±1.07 |
24.我会选择合适(材质、型号)的导尿管 | 3.96±1.17 |
33.我会保持积极乐观向上的态度 | 3.95±1.04 |
得分最低的5个条目 | |
31.我会担心自己行清洁间歇导尿时出现疼痛、出血或插不进尿管的情况 | 2.63±1.35 |
9.我会定期进行尿常规、尿培养、泌尿系B超、残余尿量测定、尿流动力学等相关检查 | 3.10±1.21 |
22.我会坚持准确记录排尿日记,根据排尿日记总结排尿规律 | 3.12±1.36 |
17.我会使用带刻度的量杯喝水 | 3.96±1.39 |
36.我会主动和病友分享我的间歇导尿经验 | 3.44±1.26 |
"
项目 | n | 疾病症状管理 | 日常生活管理 | 间歇导尿行为管理 | 情绪管理和社会回归 | t/F值a | P值a | t/F值b | P值b | t/F值c | P值c | t/F值d | P值d | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
年龄/岁 | 10~< 20 | 17 | 35.41±12.62 | 29.59±8.54 | 31.35±11.91 | 22.35±5.58 | 1.375 | 0.249 | 3.352 | 0.011 | 2.642 | 0.034 | 2.013 | 0.093 |
20~< 30 | 63 | 40.30±10.07 | 35.02±6.27 | 38.49±8.49 | 25.11±5.10 | |||||||||
30~< 40 | 75 | 41.09±8.54 | 34.59±6.48 | 36.88±7.99 | 25.08±4.61 | |||||||||
40~< 50 | 68 | 41.38±7.85 | 34.38±6.46 | 37.00±8.53 | 25.88±4.65 | |||||||||
≥50 | 32 | 40.00±8.52 | 31.72±7.27 | 35.03±8.53 | 24.22±5.25 | |||||||||
居住地 | 城镇 | 126 | 39.11±9.87 | 33.43±6.98 | 36.06±9.57 | 24.52±5.18 | 2.420 | 0.016 | 1.216 | 0.225 | 1.202 | 0.230 | 1.618 | 0.107 |
农村 | 129 | 41.84±8.10 | 34.47±6.59 | 37.37±7.78 | 25.52±4.63 | |||||||||
婚姻状况 | 未婚 | 88 | 39.36±10.55 | 33.42±7.25 | 35.72±9.99 | 23.81±5.19 | 0.980 | 0.377 | 0.476 | 0.622 | 0.897 | 0.409 | 4.179 | 0.016 |
已婚 | 157 | 41.06±8.15 | 34.27±6.44 | 37.27±7.78 | 25.61±4.65 | |||||||||
离异 | 10 | 40.60±10.26 | 33.40±8.48 | 36.60±11.16 | 26.20±5.45 | |||||||||
职业 | 学生 | 39 | 36.83±11.79 | 32.03±8.80 | 33.60±11.57 | 23.18±5.53 | 3.003 | 0.013 | 1.746 | 0.127 | 2.029 | 0.077 | 1.732 | 0.128 |
农民 | 52 | 39.58±9.58 | 33.21±6.91 | 36.62±8.73 | 24.64±4.64 | |||||||||
职员 | 24 | 42.63±9.16 | 36.63±6.15 | 40.58±7.49 | 26.21±5.14 | |||||||||
工人 | 72 | 40.90±7.25 | 34.40±5.87 | 36.85±7.79 | 25.43±4.42 | |||||||||
商人 | 22 | 38.41±10.18 | 33.00±7.32 | 36.46±8.77 | 25.36±5.45 | |||||||||
其他 | 46 | 43.84±6.57 | 34.80±5.69 | 37.42±7.22 | 25.60±4.93 | |||||||||
家庭收入主 要来源 | 是 | 151 | 40.95±9.14 | 34.38±6.75 | 37.17±8.72 | 25.68±4.93 | 1.044 | 0.298 | 1.225 | 0.222 | 1.019 | 0.309 | 2.646 | 0.009 |
否 | 104 | 39.74±9.10 | 33.32±6.85 | 36.04±8.76 | 24.04±4.79 | |||||||||
医疗费用支 付方式 | 全部自费 | 83 | 41.80±9.48 | 34.83±6.47 | 38.39±8.90 | 25.72±5.35 | 3.872 | 0.022 | 3.690 | 0.026 | 4.464 | 0.012 | 5.193 | 0.006 |
小部分报销 | 83 | 38.21±9.59 | 32.30±6.77 | 34.49±8.65 | 23.60±4.63 | |||||||||
大部分或全报 | 89 | 41.36±7.98 | 34.65±6.92 | 37.21±8.32 | 25.66±4.56 | |||||||||
间歇导尿时长 | 1~< 2周 | 35 | 38.03±11.50 | 30.77±8.44 | 33.23±11.01 | 23.37±5.50 | 3.738 | 0.006 | 3.619 | 0.008 | 2.977 | 0.021 | 3.413 | 0.010 |
2~< 4周 | 30 | 35.70±10.98 | 32.13±7.83 | 33.77±9.49 | 23.90±5.79 | |||||||||
1~< 3个月 | 38 | 40.84±6.80 | 34.34±4.41 | 37.40±6.62 | 24.92±3.81 | |||||||||
3~<6个月 | 30 | 39.90±8.42 | 33.47±6.39 | 36.80±9.02 | 23.77±4.53 | |||||||||
≥ 6个月 | 122 | 42.34±8.15 | 35.30±6.39 | 38.20±7.97 | 26.09±4.75 | |||||||||
每日间歇导 尿次数 | 1~2次 | 37 | 39.03±9.12 | 32.78±7.55 | 34.03±9.08 | 23.54±5.16 | 0.704 | 0.552 | 1.061 | 0.371 | 2.541 | 0.061 | 4.859 | 0.003 |
3~4次 | 82 | 40.29±9.89 | 34.27±6.21 | 37.74±8.40 | 25.61±4.52 | |||||||||
5~6次 | 108 | 41.39±7.50 | 34.60±5.38 | 37.69±7.14 | 25.71±4.87 | |||||||||
其他 | 28 | 39.25±12.18 | 32.00±10.98 | 33.46±12.89 | 22.50±5.03 | |||||||||
使用亲水涂层导尿管 | 是 | 181 | 40.84±8.66 | 34.52±6.48 | 37.45±8.23 | 25.19±4.91 | 0.976 | 0.331 | 2.165 | 0.035 | 2.847 | 0.050 | 1.852 | 0.374 |
否 | 74 | 39.53±10.16 | 32.54±7.38 | 34.91±9.70 | 24.58±4.98 | |||||||||
并发症 | 有 | 109 | 39.34±9.13 | 32.42±6.84 | 35.03±8.54 | 23.73±4.75 | -1.699 | 0.090 | -3.145 | 0.002 | -2.690 | 0.008 | -3.689 | < 0.001 |
无 | 146 | 41.30±9.06 | 35.08±6.56 | 37.97±8.70 | 25.97±4.86 | |||||||||
患病后家人 的态度 | 很关心 | 114 | 42.20±9.04 | 33.98±7.31 | 37.47±9.30 | 25.46±5.56 | 7.414 | 0.001 | 0.888 | 0.413 | 3.804 | 0.024 | 1.104 | 0.343 |
关心 | 129 | 39.65±8.88 | 34.15±6.21 | 36.64±8.09 | 24.78±4.20 | |||||||||
不关心 | 12 | 32.58±7.62 | 31.42±7.85 | 30.25±7.67 | 23.33±5.77 |
"
自变量 | 哑变量 |
---|---|
性别 | 0 =男,1 =女 |
年龄 | 0 = 10~< 20岁,1 = 20~< 30岁,2 = 30~< 40岁,3 = 40~< 50岁,4 = ≥ 50岁 |
居住地 | 0 =农村,1 =城镇 |
婚姻状况 | 0 =未婚,1 =已婚,2 =离异 |
职业 | 0 =其他,1 =学生,2 =农民,3 =办公职员,4 =工人,5 =商人 |
是否为家庭收入主要来源 | 0 =否,1 =是 |
医疗费用支付方式 | 0 =全部自费,1 =小部分报销,2 =大部分或全报 |
间歇导尿时长 | 0 = 1~< 2周,1 = 2~< 4周,2 = 1~< 3个月,3 = 3~< 6个月,4 = ≥ 6个月 |
近1周每日间歇导尿次数 | 0 =其他,1 = 1~2次,2 = 3~4次,3 = 5~6次 |
使用亲水涂层导尿管 | 0 =否,1 =是 |
并发症 | 0 =无,1 =是 |
患病后家人的态度 | 0 =不关心,1 =关心,2 =很关心 |
自我效能感 | 以原始值录入 |
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