老年慢性阻塞性肺疾病患者出院准备度与自我效能的相关性研究  

Correlations between readiness for hospital discharge and self-efficacy in elderly patients with chronic obstructive pulmonary disease

作　　者：贾玉玲[1] 马红梅[1] 于文蓁[2] Jia Yuling;Ma Hongmei;Yu Wenzhen(Department of Geriatrics, Renmin Hospital of Wuhan University, Wuhan 430060, China;Department of Respiratory, Renmin Hospital of Wuhan University, Wuhan 430060, China)

机构地区：[1]武汉大学人民医院老年科,430060 [2]武汉大学人民医院呼吸内科,430060

出　　处：《中华健康管理学杂志》2018年第6期530-534,共5页Chinese Journal of Health Management

摘　　要：目的了解老年慢性阻塞性肺疾病(COPD)患者出院准备度现状,探讨其与患者自我效能间的相关性。方法采用出院准备度量表和慢性病自我效能量表对武汉大学人民医院2017年11月至2018年3月收治的240例老年COPD患者进行问卷调查,并用Pearson法进行相关性分析。结果老年COPD患者出院准备度总分为(6.13±0.89)分,自我效能总分为(3.42±1.46)分;老年COPD患者出院准备度与自我效能总分及各维度得分均呈正相关(r值范围为0.256~0.651,P均<0.01)。结论老年COPD患者的出院准备度仍处于中等水平,自我效能水平较低,两者呈正相关。医护人员应积极关注老年COPD患者的出院准备度,帮助其提高自我效能,促进疾病康复。Objective To investigate the level of readiness for hospital discharge in elderly patients with chronic obstructive pulmonary disease (COPD) and its correlation with patients' self-efficacy. Methods A questionnaire survey was administered to 240 elderly COPD patients admitted to the people's hospital of Wuhan University in Hubei Province from November 2017 to March 2018, using the Readiness for Hospital Discharge Scale and the Self-Efficacy for Managing Chronic Disease 6-Item Scale. Pearson correlations were used for analysis. Results Total scores for hospital discharge readiness were (6.13±0.89) and for self-efficacy were (3.42±1.46) in elderly COPD patients. Pearson correlation analyses indicated that there were significant positive correlations between the total scores and all dimensions of readiness for hospital discharge and self-efficacy in elderly patients with COPD (r=0.256-0.651, P<0.01). Conclusion The readiness for hospital discharge in elderly patients with COPD is still at a medium level, and the level of self-efficacy is low. Readiness for hospital discharge and self-efficacy are positively correlated in elderly patients with COPD. Health care workers should pay active attention to the readiness for hospital discharge in elderly patients with COPD so as to help them improve their self-efficacy, and promote disease recovery.

关 键 词：肺疾病 慢性阻塞性 自我评价 病人出院 出院准备 相关性 

分 类 号：R511.6[医药卫生—内科学]