摘要
目的探讨COPD患者自我效能与心理状况的关系,为运用自我效能理论指导COPD患者维护心理健康提供理论依据。方法采用医院焦虑抑郁量表和慢性阻塞性肺疾病自我效能量表调查了100例COPD患者的自我效能和心理状况,并分析两者的相关性。结果本组COPD患者自我效能偏低,平均值为2.25分;41例(41%)患者存在焦虑情绪,55例(55%)患者存在抑郁情绪;自我效能总体及各维度与患者的焦虑抑郁水平呈负相关(P<0.001)。结论COPD患者的自我效能水平与心理状况密切相关,护理人员可运用自我效能理论,如注重患者的直接性经验、注意患者的情绪变化、避免负性刺激以及注重社会和家庭的支持,来减轻COPD患者的焦虑抑郁水平,以提高其心理健康水平和自我效能。
Objective To explore the correlation between the self-efficacy and psychology of patients with chronic obstructive pulmonary disease （COPD） and thus to provide the basis for the application of the self-efficacy theory in guiding patients in safeguarding their mental health. Methods By means of the Hospital Anxiety and Depression Scale and Chinese Self-efficacy Scale, the psychology and self-efficacy of 100 cases with COPD were studied. Results The level of self-efficacy in the patients was on at low end, with the score averaging 2.25; 41 cases （41%） exhibited anxiety while 55 cases （55%）, depression. The overall self-efficacy and its various dimensions were negatively correlated with the level of anxiety and depression （P〈0.001）. Conclusion The self-efficacy and psychology of COPD patients are closely related; therefore, the nursing personnel should minimize patients＇ anxiety and depression by applying the self-efficacy theory, including paying attention to their direct experience and change in their mood, avoiding negative stimulations and emphasizing the social and family support, etc., in order to improve their psychology and self-efficacy.
出处
《护理学报》
2009年第3期15-17,共3页
Journal of Nursing（China）
关键词
慢性阻塞性肺疾病
心理
自我效能
相关性
chronic obstructive pulmonary disease
psychology
self-efficacy
correlation
