本文選題：非酒精性脂肪性肝病　切入點(diǎn)：生活方式　出處：《暨南大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

【摘要】：目的描述非酒精性脂肪性肝病(NAFLD)與生活方式之間的關(guān)系,并探索影響NAFLD患者自我管理的深層次原因。研究方法(1)橫斷面研究。采用方便抽樣法從體檢人群中抽取205名NAFLD患者及231名正常人群,并對(duì)其生活方式進(jìn)行問(wèn)卷調(diào)查,對(duì)2組人群人口學(xué)資料及生活方式特征進(jìn)行單因素分析,通過(guò)結(jié)構(gòu)方程模型建模方法構(gòu)建NAFLD患者生活方式關(guān)系模型。(2)質(zhì)性研究。通過(guò)目的抽樣法抽取12名NAFLD患者進(jìn)行深度訪談,并采用Colaizzi資料分析法進(jìn)行資料分析。結(jié)果(1)單因素分析結(jié)果顯示,NAFLD患者中31~45歲者所占比例最大,為40.5%;男性比例大于女性;體重指數(shù)(BMI)為(25.64±3.30)kg/m2,肥胖及超重者占66.3%;行為方式中,NAFLD患者與正常人群的工作方式、做家務(wù)情況、鍛煉頻率、吸煙狀況差異有統(tǒng)計(jì)學(xué)意義(P0.05);飲食習(xí)慣中,NAFLD患者吃宵夜、甜食頻率,外出就餐頻率高于正常人群,差異有統(tǒng)計(jì)學(xué)意義(P0.05),其吃蔬菜、水果頻率,喝牛奶/酸奶頻率低于正常人群,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。(2)模型構(gòu)建結(jié)果:所建模型擬合良好;模型結(jié)果顯示,與NAFLD有直接效應(yīng)的變量包括BMI、不良飲食習(xí)慣、良好飲食習(xí)慣、吸煙狀況,效應(yīng)值分別為-0.444,-0.156,0.185,-0.088;行為方式與NAFLD之間存在間接效應(yīng),效應(yīng)值為0.200,BMI在其中起中介作用。(3)NAFLD患者自我管理質(zhì)性研究中,提煉出3個(gè)主題,分別是個(gè)體因素、條件影響及自我管理行為,其中每個(gè)主題分別包含2~4個(gè)分主題。結(jié)論NAFLD患者生活方式存在日�；顒�(dòng)量少、飲食結(jié)構(gòu)不合理的特征,可采取以下方式預(yù)防和控制NAFLD:經(jīng)由改變行為方式控制體重,調(diào)節(jié)飲食結(jié)構(gòu),戒煙;NAFLD患者自我管理狀況不良,受個(gè)體因素(對(duì)疾病的認(rèn)知及態(tài)度)和條件因素(環(huán)境限制、條件促進(jìn))的影響。
[Abstract]:Objective to describe the relationship between NAFLD and lifestyle in patients with non-alcoholic fatty liver disease. The cross-sectional study was carried out. 205 NAFLD patients and 231 normal people were selected from the physical examination population by convenient sampling method, and their lifestyle was investigated by questionnaire survey, and the results were as follows: (1) A cross-sectional study was conducted to investigate the causes of influencing the self-management of NAFLD patients, and a questionnaire survey was carried out among 205 NAFLD patients and 231 normal people. The demographic data and lifestyle characteristics of two groups of people were analyzed by single factor analysis, and the relationship between lifestyle and life style of NAFLD patients was established by structural equation model modeling method. Twelve NAFLD patients were selected by objective sampling method for in-depth interviews. Results the results of univariate analysis showed that the proportion of patients aged 31 to 45 years old was the largest (40.5%), the proportion of male was higher than that of female. The body mass index (BMI) was 25.64 鹵3.30 kg / m ~ (2), and the proportion of obese and overweight was 66.30.There were significant differences in the way of work, housework, exercise frequency, smoking status between patients with NAFLD and normal people in their behavior, and the frequency of eating supper and sweet food in patients with NAFLD in their eating habits. The frequency of eating out was higher than that of normal people, and the difference was statistically significant (P 0.05). The frequency of eating vegetables and fruit and drinking milk / yoghurt were lower than that of normal people, and the difference was statistically significant. The results of the model showed that the variables with direct effect with NAFLD included BMIs, bad eating habits, good eating habits, smoking status, and the effect values were -0.444- 0.156n0.185- 0.088.The indirect effects existed between behavior patterns and NAFLD, respectively. In the study of self-management quality of NAFLD patients with 0.200 BMI, three subjects were abstracted as individual factors, condition influence and self-management behavior, respectively, in the study of self-management quality of NAFLD patients. Conclusion the lifestyle of patients with NAFLD has the characteristics of low daily activity and unreasonable dietary structure. The following ways can be used to prevent and control NAFLDs: controlling weight by changing behavior. The self-management of NAFLD patients who quit smoking was affected by individual factors (cognition and attitude to disease) and conditional factors (environmental limitation, conditional promotion).
【學(xué)位授予單位】：暨南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R575.5

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 Perla Oliveira Schulz;Fabio Gon?alves Ferreira;Maria de Fátima Araújo Nascimento;Andrea Vieira;Mauricio Alves Ribeiro;André Ibrahim David;Luiz Arnaldo Szutan;;Association of nonalcoholic fatty liver disease and liver cancer[J];World Journal of Gastroenterology;2015年03期

2 支養(yǎng)興;高刻;謝睿;;非酒精性脂肪性肝病與冠狀動(dòng)脈粥樣硬化相關(guān)性分析[J];山西醫(yī)科大學(xué)學(xué)報(bào);2014年09期

3 徐永輝;利旭輝;邱藝瓊;肖春花;;惠州市成人非酒精性脂肪性肝病流行病學(xué)調(diào)查與干預(yù)措施[J];河北醫(yī)學(xué);2014年08期

4 王娜;丁焱;;妊娠期糖尿病孕婦疾病自我管理體驗(yàn)的質(zhì)性研究[J];護(hù)理學(xué)雜志;2014年14期

5 林琳;易琦峰;李穎;胡漫輝;楊艷;;冠心病患者自我管理水平及影響因素分析[J];齊魯護(hù)理雜志;2014年14期

6 Kenichiro Yasutake;Motoyuki Kohjima;Kazuhiro Kotoh;Manabu Nakashima;Makoto Nakamuta;Munechika Enjoji;;Dietary habits and behaviors associated with nonalcoholic fatty liver disease[J];World Journal of Gastroenterology;2014年07期

7 王琪;施耀方;汪小華;侯云英;蔣青;;1型糖尿病成年患者長(zhǎng)期自我管理體驗(yàn)的質(zhì)性研究[J];護(hù)理學(xué)雜志;2014年03期

8 高焱;賈竹敏;;2型糖尿病患者自我管理體驗(yàn)的質(zhì)性研究[J];護(hù)理學(xué)雜志;2014年01期

9 周健;李敏;史麗萍;李寶俠;杜文婷;;老年干部群體脂肪肝生活行為因素[J];中國(guó)老年學(xué)雜志;2013年23期

10 Matteo Nicola Dario Di Minno;Anna Russolillo;Roberta Lupoli;Pasquale Ambrosino;Alessandro Di Minno;Giovanni Tarantino;;Omega-3 fatty acids for the treatment of non-alcoholic fatty liver disease[J];World Journal of Gastroenterology;2012年41期

相關(guān)碩士學(xué)位論文 前4條

1 徐江華;中風(fēng)患者出院前自我管理效能感現(xiàn)狀及影響因素研究[D];湖北中醫(yī)藥大學(xué);2013年

2 蘭蘭;非酒精性脂肪肝行為干預(yù)的探索研究[D];第三軍醫(yī)大學(xué);2010年

3 陳淑嫻;非酒精性脂肪肝危險(xiǎn)因素的配對(duì)病例對(duì)照研究[D];南華大學(xué);2010年

4 唐國(guó)戰(zhàn);大學(xué)生生活方式及其引導(dǎo)研究[D];華中師范大學(xué);2006年

，

本文編號(hào)：1641135