心源性心力衰竭患者自我效能水平及其影响因素的调查  

Investigation of self-efficacy factors on patients with heart source heart failure

作　　者：黄晓莉[1] 秦呈婷[1] 丁飙 

机构地区：[1]200233上海交通大学附属第六人民医院心内科 [2]护理部

出　　处：《中华现代护理杂志》2011年第19期2276-2278,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨心源性心力衰竭患者自我效能水平及其影响因素，为制订护理干预措施提供科学依据，从而提高患者的生活质量和整体护理质量。方法采用慢性心力衰竭自我效能量表、特定活动量表和社会支持量表，通过方便抽样法，对100例再人院心源性心力衰竭患者进行问卷调查。以自我效能总分及各因子得分为应变量，以一般资料、特定活动量表和社会支持量表的各项目为自变量进行多元线性逐步回归分析。结果心力衰竭患者自我效能平均得分（25．50±7．53）分，个人年收入、社会支持系统、病程及就医付费方式四个主要因素与心力衰竭患者的自我效能水平有关（t分别为3．061，4．359，6．175，2．072；P〈0．05）。其影响因素主要为住院次数、急性心力衰竭发作频率、支持系统。结论慢性心力衰竭患者的自我效能有待提高，护理人员应注重病程较长及社会支持系统不完善患者的自我效能的提高。Objective To evaluate the level of self-efficacy in heart failure patients and to investigate the potentially key factors as well, which, in turn, can optimize healthy education, increase the level of self- efficiency, raise the quality of life, and ultimately improved the overall quality of nursing care. Methods Using especially designed self-efficacy scale, specific activity scale and social support scale, 100 cases of readmission of patients with chronic heart failure was conveniently sampled to be inquired by a questionnaire. Multiple linear regression analysis were used in this study to investigate the potentially key factors related to the level of self- efficacy. Results The average points score of Self-efficacy in patients with heart failure was （ 25.50 ＋ 7.53 ）. It also suggest that personal annual income, social support system, medical care payment methods and duration play important roles in the level of self-efficacy （ t = 3.061,4. 359,2. 072,6. 175, P 〈 0. 05 ）. Conclusions The level of self-efficacy in patients with heart failure needs to be further improved, many factors contribute to the level of self-efficacy in patients with heart failure, especially duration and social support system, on which should be paid enough attention.

关 键 词：心力衰竭 自我效能 影响因素 

分 类 号：R541.6[医药卫生—心血管疾病]