47th World Congress on Nursing & Health Care
Singapore City, singapore
Sichuan University School of Nursing, China
Title: Self-care agency and associated factors in discharged patients with systemic lupus erythematosus in Southwest China
Biography: Hui Yang
Objective:The aim of this study was to estimate the level of self-care agency and explore its associated factors in discharged patients with systemic lupus erythematosus(SLE) in Southwest China.
Method: A cross-sectional study was conducted between July and October 2016 and all discharged patients were from a tertiary general hospital in Southwest China. The self-care agency was assessed by the Exercise of Self-care Agency Scale(ESCA). Pain and fatigue were assessed by the visual analog scale(VAS). The disease activity was measured using Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K). Physical and mental health were evaluated by the physical (PCS) and mental component summary (MCS) of the instrument SF-36, version 2. Multivariate regression analysis was performed to explore the associated factors of self-care agency.
Result: A total of 123 discharged patients were recruited. The mean of ESCA was 86.29. In univariate analysis, self-care agency of discharged patients have the difference in gender, work status, educational level, household income and disease activity( P<0.05 ). Additionally, higher BMI, higher level of fatigue and worse mental health was found in patients with lower self-care agency( P<0.05 ). The stepwise multivariate regression analysis showed that male( P = 0.001 ), lower educational level(P=0.003), lower household income( P<0.001 ) and worse mental health( P <0.001 ) could predict lower self-care agency.
Conclusion: This results indicated that the discharged patients with SLE had a middle level of self-care agency in Southwest China. The lower level of self-care agency was assessed with male, lower educational level, lower household income and worse mental health. These findings pointed out the importance of targeted intervention to enhance the self-care agency of discharged patients with SLE.