妊娠期妇女自我效能与自我管理行为的相关分析  

Study on the self-efficacy and self-management behaviors of Pregnant Women

作　　者：蔡小霞[1] 李夏婷[2] 刘慧萍[3] 

机构地区：[1]海南医学院国际护理学院,海南海口571199 [2]海南医学院附属医院 [3]海南省海口市妇幼保健院

出　　处：《现代预防医学》2012年第12期2964-2965,2967,共3页Modern Preventive Medicine

摘　　要：目的探讨妊娠期妇女的自我效能、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、孕妇自我保健管理评定问卷对160名妊娠期妇女进行调查。结果妊娠期妇女一般自我效能感平均得分与国际成人常模比较,差异有统计学意义(t=-9.53,P﹤0.01)。孕妇自我保健管理总分为(63.74±11.49)分。其中,得分指标最高的是自我防护行为,其次为日常生活行为和遵医行为,胎儿监护行为得分指标最低。自我效能与自我管理行为呈显著正相关(P﹤0.01)。结论妊娠期妇女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 serf-efficacy and self-management behaviors of the pregnant women. METHODS The General Self-Efficacy Seale （GSES） by Ralf Sehwarzer and The Self-rating Questionnaire of Health- care Management for Pregnancy （SQHMP） were used to investigate the self-efficacy and serf-management behaviors of 160 pregnant women. RESULTS There was statistically significant difference between score of GSES of the pregnant women and nor- mal score （t = -9.53, P 〈 0.01）. The score of self-healthcare management in these pregnant women was bit low （63.74±11.49）. In every domain, the maximal one was serf-protection behavior, followed by daily life behavior and medical compliance behavior, while the minimal one was fetal monitoring behavior. There was a positive and significant relationship between self-efficacy and self-management behaviors of the pregnant women （P 〈 0.01）. CONCLUSION The self-efficacy need to be en- hanced 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：妊娠期妇女 自我效能 自我管理行为 

分 类 号：R714.1[医药卫生—妇产科学]