摘要
目的探讨慢性肾衰竭(CRF)腹膜透析患者自我效能感的影响因素。方法选取2020年4月至2021年4月于郑州大学第二附属医院接受腹膜透析治疗的100例CRF患者为研究对象。于规律性腹膜透析治疗3个月时采用一般自我效能量表(GSES)评估患者自我效能感,设计基线资料填写表并记录研究所需资料,分析CRF腹膜透析患者自我效能感的影响因素。结果100例CRF患者规律性腹膜透析3个月时GSES评分为(24.52±3.84)分;消极应对方式、家庭关怀度低、社会支持度低、病耻感强的CRF腹膜透析患者的GSES评分低于家庭关怀度中等/高、社会支持度中等/高、积极应对方式、病耻感中等/弱的患者(P<0.05)。经多元线性回归分析,结果显示,消极应对方式、家庭关怀度低、社会支持度低、病耻感强为CRF腹膜透析患者自我效能感弱的影响因素(P<0.05)。结论家庭关怀度低、社会支持度低、消极应对方式、病耻感强均为CRF腹膜透析患者自我效能感的影响因素。
Objective To explore the influencing factors of self-efficacy in peritoneal dialysis patients with chronic renal failure(CRF).Methods A total of 100 CRF patients who received peritoneal dialysis in the Second Affiliated Hospital of Zhengzhou University from April 2020 to April 2021 were selected as the research subjects.The general self-efficacy scale(GSES)was used to evaluate the self-efficacy of all patients at 3 months of regular peritoneal dialysis treatment.The baseline data were designed,the data required for the study were filled in and recorded,and the influencing factors of self-efficacy of CRF peritoneal dialysis patients were analyzed.Results The GSES score of 100 CRF patients at 3 months of regular peritoneal dialysis treatment was(24.52±3.84)points.The GSES scores of CRF peritoneal dialysis patients with negative coping style,low family care,low social support and strong sense of shame are lower than those with medium/high family care,medium/high social support,positive coping style and medium/weak sense of shame(P<0.05).Through multiple linear regression analysis,the results showed that negative coping style,low family care,low social support and strong stigma were the influencing factors of weak self-efficacy of CRF peritoneal dialysis patients(P<0.05).Conclusion Low family care,low social support,negative coping style and strong stigma are the influencing factors of self-efficacy of CRF peritoneal dialysis patients.
作者
王丽华
WANG Lihua(Department of Internal Medicine,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2022年第21期3905-3908,共4页
Henan Medical Research
关键词
慢性肾衰竭
腹膜透析
自我效能感
应对方式
病耻感
chronic renal failure
peritoneal dialysis
self-efficacy
coping style
stigma
