Health Care : Current Reviews

Self-care agency and associated factors in patients with systemic lupus erythematosus

18^th World Congress on Clinical Nursing & Practice

September 21-22, 2018|Prague, Czech Republic

Hui Yang

Sichuan University, China

Posters & Accepted Abstracts: Health Care Current Reviews

Abstract:

Aim: The aim of this study was to estimate the level of self-care agency and explore its associated factors in patients with systemic lupus erythematosus (SLE). Method: A cross-sectional study was conducted between July and October 2016 and all 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 patients were recruited. The mean of ESCA was 86.29. In univariate analysis, self-care agency of patients has 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: These results indicated that the patients with SLE had a middle level of self-care agency. 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 in patients with SLE.

Biography :

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