代谢综合征自我效能量表在代谢综合征患者管理中的应用  

EFFECT OF SELF-EFFICACY SCALEON THE PATIENTS WITH METABOLIC SYNDROME

作　　者：周爱民[1] 戴霞[1] 冯启明[2] 陈财英[1] 范海萍[1] 游越西[1] 罗艳霞[1] 陈思妍[1] 梁杏欢[1] 

机构地区：[1]广西医科大学第一附属医院内分泌科,南宁530021 [2]广西医科大学公共卫生学院

出　　处：《广西医科大学学报》2013年第6期884-886,共3页Journal of Guangxi Medical University

基　　金：广西科技厅自然科学基金资助项目(No.2010GXNSFA013163;No.2010GXNSFA013182)

摘　　要：目的:探讨代谢综合征(MS)自我效能量表在MS患者中的应用效果。方法:选择2011年1月至2012年6月获得明确诊断、接受系统治疗的MS患者135例,根据有无进行提升自我效能的干预分为干预组(n=70)和对照组(n=65),比较干预组各项指标有无变化,运用自我效能量表评价患者的自我效能并分析病人自我效能状况及其影响因素。结果:相比对照组,干预组中体重指数(BMI)、腰围在治疗过程中变化的幅度较其他指标显著,即干预组取得的疗效明显优于对照组。相比对照组,通过12个月的自我效能的锻炼,干预组的自我效能评分明显提升。多重线性回归分析显示饮食、锻炼效能与自我效能有密切联系(均P<0.05)。结论:饮食和锻炼(尤其饮食)是自我效能的重要影响因素。Objective：To investigate the efficacy of the self-efficacy scale on the metabolic syndrome （MS） patients. Methods： A total of 135 patients with MS who got a clear diagnosis and accepted system treat- ment were selected from January 2011 to June 2012. The patients were divided into intervention （ n =70） and control （ n =65） groups according to who had enhanced self-efficacy or not. The changes of the indica- tors were compared between the two groups, self-efficacy scale was used to evaluate patients＇ self-efficacy, the state of self-efficacy of the patients was analyzed, and the influenced factors of self-efficacy were found out. Results： As compared with the control group, BMI and waist circumference of the indicators in the in- tervention group changed significantly and achieved significantly therapeutic effect. After 12 months of the exercise of the self-efficacy, the scores in intervention group were significantly improved. Conclusion： Mul- tiple linear regression analysis showed that diet and exercise were closely associated with self-efficacy.

关 键 词：代谢综合征 自我效能 多重线性回归分析 

分 类 号：R589[医药卫生—内分泌]