肺结核患者自我效能及其影响因素分析  

The analysis of self-efficacy and its influence factors in pulmonary tuberculosis cases

作　　者：郦桂青[1] 谭守勇[1] 高翠南[1] 何庆秋[1] 邓虹[1] 

机构地区：[1]广州市胸科医院,510095

出　　处：《中国防痨杂志》2012年第8期519-522,共4页Chinese Journal of Antituberculosis

基　　金：广州市医药卫生科技项目(201102A213210)

摘　　要：目的了解肺结核患者自我效能状况及其相关影响因素,探讨提高肺结核患者自我效能的有效途径。方法采用随机数字表法进行抽样,用一般资料问卷和肺结核患者自我效能评价表对182例肺结核患者进行调查,发放问卷182份,回收有效问卷182份,有效问卷回收率为100.0%。肺结核患者自我效能水平分为高、中、低三个等级,≥34分为高水平,25～33分为中等水平,≤24分为低水平。结果182例肺结核患者自我效能总分为(26.45±4.99)分,64.8%(118/182)的患者具有中等水平的自我效能,仅17.6%(32/182)的患者具有高水平的自我效能。男性得分为(24.35±4.84)分,女性得分为(26.74±5.19)分(t=37.654,P<0.01);个人月收入<2000元者得分为(27.15±3.56)分,2000～元者得分为(27.46±5.46)分,>5000元者得分为(25.32±4.54)分(F=3.884,P<0.05);家庭社会支持功能良好者得分为(27.14±4.92)分,差者得分为(25.68±5.01)分(t=12.728,P<0.01);心理状况良好者得分为(26.92±5.00)分,差者得分为(26.53±5.07)分(t=6.284,P<0.01);文化程度大专以上者得分为(27.48±4.68)分,高中者得分为(26.32±4.91)分,初中者得分为(27.64±5.53)分,小学以下者得分为(24.70±4.24)分(F=2.837,P<0.05);患者对疾病的态度积极面对者得分为(26.86±4.95)分,无所谓者得分为(24.53±4.49)分,(t=31.042,P<0.01)。结论诸多因素在不同层面影响肺结核患者的自我效能水平,因此需针对其主要影响因素采取相应的护理措施,从而提高肺结核患者自我效能。Objective To evaluate the status of self-efficacy and its influence factors in pulmonary TB cases, then explore an effective approach to improve their self-efficacy levels. Methods A total of 182 patients with pulmonary TB were sampled by random number table method. General social-demographic questionnaire and self-efficacy questionnaire were used to investigate patients＇ general information and self-efficacy in this study. One hundred and eighty-two pieces of questionnaires were issued and returned with the valid rate of 100. 0%. Self-efficacy of pulmonary TB is divided into high, medium and low three levels. ≥34 is considered high level, and 25-33 as medium level≤ 24 as low level. Results The total score of self-efficacy in 182 patients with pulmonary TB was （26.45± 4.99）. 64.8% （118/182） of patients had a medium level of self-efficacy, Only 17.6%（32/182） of patients were in high level. Male scored （24.35±4. 84）, the female scored （26.7±5.19） （t=37. 654, P〈0.01） ; Those who had a personal monthly income of less than 2000 Yuan scored （27.15± 3.56）, those between 2000 to 5000 scored （27.46±5.46）, and 〉5000 scored （25.32±4.54） （F=3. 884, P〈0.05） ; Patients who had a good family and social support scored （27.14±4. 92）, and （25.68±5.01）for those with low support（t： 12, 728,P〈0. 01）. Patients with good psychological condition scored （26.92±5.00） and （26.53±5.07）for bad condition（t=6. 284,P〈0. 01）. In terms of education level, patients with college level scored （27.48±4. 68）, high school scored （26.32±4. 91）, junior high school scored （27.64±5.53） and primary school score （24.70±4.24） （F=2. 837, P〈0.05）; Patients with positive attitude towards disease scored （26.86±4.95）, ＇ does no matter＇ attitude scored （ 24.53± 4.49） （t = 31. 042,P〈0.01）. Conclusion The self-efficacy in patient with pulmonary TB was affected by many factors. Therefore, we should focus on main influencing factors

关 键 词：结核 肺 自我效验 

分 类 号：R521[医药卫生—内科学]