主管:国家卫生健康委员会
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• 专科管理 • 上一篇    下一篇

基于聚类分析的慢性肾病患者自我管理类型分类研究

刘彤 张慧 姚佳 刘泓君 刘思第 张晓婷   

  1. 中国医学科学院北京协和医院肾内科,100730(刘彤,姚佳);北京协和医学院护理学院(张慧,刘泓君,刘思第,张晓婷)
  • 出版日期:2017-07-25 发布日期:2017-07-25

Identification of subtypes of self-management in patients with Chronic Kidney Disease: a cluster analysis

  • Online:2017-07-25 Published:2017-07-25

摘要: 目的:从慢性肾脏病(CKD)自我管理的角度,分析CKD患者可能的不同分型,以期为提出更有针对性的疾病管理策略提供依据。方法:采用自行设计的问卷对217名慢性肾脏病患者进行调查,通过SPSS 22.0中的聚类分析方法进行分类,比较不同类型患者的一般特征。结果:217名CKD患者可分I类乐观实践型、II类盲目放任型、III类悲观不作为型、IV类忧虑实践型。4类患者在居住地、住院经历、是否接受过健康宣教、受教育程度方面的差异有统计学意义(P<0.05);而在患者的年龄、性别、婚姻状况、支付方式等方面差异无统计学意义(P>0.05)。结论:通过聚类分析将CKD患者分为不同的亚型,将为医护人员为不同自我管理类型的CKD患者制定有针对性的自我管理策略,实现医疗资源的优化利用提供依据。

Abstract: Objective: To explore the possible types of self-management in patients with Chronic Kidney Disease (CKD). Methods: Totally 217 CKD patients were assessed by the self-management instrument designed by the authors. Cluster analysis using SPSS 22.0 version was performed to categorize patients. Results: Four different types of patients were got through cluster analysis. Type I patients showed very good self-management abilities, positively and optimistically. Type II patients showed blind permissive management. Type III patients performed pessimistic and poor. Type IV patients performed poorly in emotional accommodation. Their education status, hospitalizing experience, the residence location, and professional health training experience were different among the four types of patients (P<0.05). Meanwhile, there were no difference in patients' age, gender, marital status and payment schemes (P>0.05). Conclusion: In this research, CKD patients were divided into 4 types based on their self management abilities. It could provide basis for effectively screening and implementing measures for CKD patients' management.