摘要
目的了解维持性血液透析患者自我管理行为与自我效能状况，并分析其相关性。方法采用问卷调查方式对2010年2—4月98例进行维持性血液透析治疗的患者进行横断面研究。问卷内容包括患者的一般资料、自我管理行为及自我效能三部分，并对患者自我管理行为与自我效能进行相关分析。结果本研究共包括98例符合条件的维持性血液透析患者，调查问卷回收率为100％。各项自我管理行为情况依次为：对疾病的监测和用药依从性（7．45±1．08）分、饮食行为（5．24±2．20）分、参与治疗决策行为（3．04±1．84）分、情绪和症状管理行为（2．26±1．76）分及运动行为（106．38±111．53）min／周。本组病例自我效能评分为（6．31±2．55）分，仅40．2％患者具备高水平的自我效能。相关分析显示患者自我效能水平与运动行为（r=0．367，P〈0．01）及情绪和症状管理行为（r=0．281，P〈0．01）均呈正相关。结论维持性血液透析患者自我效能与自我管理行为之间关系密切，患者自我效能的提高也许有助于其自我管理能力的改进。
Objective To explore the association between self-management and self-efficacy in patients undergoing maintenance hemodialysis （HD） so as to improve their self-management behaviors in the course of treatment. Methods A questionnaire was used to assess self-management behaviors and self-efficacy in 98 patients from our HD center between February and April 2010 ,and the data was analyzed. Results A total of 98 HD patients were included in this study. The scores of self-management items were （ 7.45 ± 1.08 ） in the compliance to taking medicines and monitoring the state of illness, （5.24 ± 2.20 ） in managing the behaviors of dietary intake, （3.04 ± 1.84） in participating in decision-making, （2.26 ± 1.76） in controlling the mode and symptoms, and （106.38 ± 111.53 ） min/week in taking part in exercises, respectively. The score of self- efficacy was （6.31 ± 2.55 ）, only 40.2% patients achieved the advanced level of self-efficacy. Self-efficacy was significantly correlated with taking part in exercises （ r = 0. 367, P 〈 0.01 ） and controlling the mode and symptoms （ r = 0. 281 ,P 〈 0.01 ）. Conclusions There is association between self-management and self-efficacy in our HD patients, and increasing the self-efficacy may improve patients＇ self-management behaviors.
出处
《中华现代护理杂志》
2012年第36期4375-4378,共4页
Chinese Journal of Modern Nursing
基金
北京市科委课题（1909050704310905）
