摘要
目的探讨骨关节炎患者的自我效能、自我管理行为状况及两者之间的关系。方法应用一般自我效能感量表、慢性病自我管理行为量表对120名骨关节炎患者进行调查。结果骨关节炎患者一般自我效能平均得分与国际成人常模比较,差异有统计学意义(t=-8.47,P<0.01)。自我管理行为中运动锻炼时间较短,认知性症状管理实践、与医生的交流得分较低,自我效能与自我管理行为呈显著正相关(P<0.01)。结论骨关节炎患者的自我效能感有待加强,自我管理行为需要改善,自我管理行为与自我效能关系密切,可通过健康教育提高患者的自我效能,进而改善其自我管理行为。
Objective To study the relationship between the self-efficacy and self-management behaviors of the patients with osteoarthritis.Methods The General Self-Efficacy Seale（GSES）by Ralf Sehwarzer and the Chronic Disease Self-management Behaviors Measuring Scale were used to investigate the self-efficacy and self-management behaviors of the 120 patients with osteoarthritis.Results There was statistically significant difference between score of GSES of the patients with osteoarthritis and the normal（t=-8.47,P0.01）.The time spent on physical exercises were relatively short in self-management behaviors among the patients with osteoarthritis,the scores of cognitive symptom management practice and communication with doctors were relatively low.There was a positive and significant relationship between self-efficacy and self-management behaviors of the patients with osteoarthritis（P0.01）.Conclusion The self-efficacy need to be enhanced and Self-management behaviors need to be improved,and the self-management behavior is related to their self-efficacy.Health education is benefit for improving self-efficacy and self-management behaviors.
关键词
骨关节炎
自我效能
自我管理行为
Osteoarthritis
Self-efficacy
Self-management behavior
