慢性乙型肝炎患者治疗依从性与自我效能和社会支持的相关性分析  

Correlation analysis of treatment compliance, self-efficiency and social support for patients with chronic hepatitis B

作　　者：沙莉[1] 许勤[2] 华琳[3] 张利漫[3] 李楠楠[3] 

机构地区：[1] 南京医科大学护理学院,210029 南京市第二医院护理部,210003 [2]南京医科大学护理学院,210029 [3]南京市第二医院护理部,210003

出　　处：《中华现代护理杂志》2014年第32期4075-4078,共4页Chinese Journal of Modern Nursing

基　　金：2013年度南京市医学科技发展项目（YKK13152）

摘　　要：目的：了解慢性乙型肝炎患者治疗依从性、自我效能及社会支持的现状，探讨治疗依从性与自我效能和社会支持的相关性。方法应用慢性乙型肝炎患者治疗依从性问卷、健康行为自我效能量表、社会支持评定量表对92例慢性乙型肝炎患者进行调查。结果92例慢性乙型肝炎患者治疗依从性总得分为（33．80±3．28）分，其中药物治疗维度得分为（9．85±1．44）分；自我效能总得分为（66．28±13．78）分，其中高水平占26．09％，中水平占65．22％，低水平占8．69％；社会支持总得分为（41．67±5.32）分。慢性乙型肝炎患者治疗依从性与自我效能和社会支持均呈正相关（ r值分别为0．482，0．711；P＜0．01）。结论慢性乙型肝炎患者治疗依从性较差，高自我效能和良好的社会支持可提高患者的治疗依从性。Objective To comprehend the status of treatment compliance, self-efficacy and social support of patients with chronic hepatitis B （ CHB ） , and to investigate the correlation among them.Methods The investigation had been carried out with treatment compliance questionnaire, health behavior self-efficacy scale, and social support rating scale among ninety two cases with CHB.Results The overall score of treatment compliance in Patients with CHB was （33.80 ±3.28）, while the lowest score was medical treatment only （9.85 ±1.44）;self-efficacy acquired （66.28 ±13.78）, in which the high level had 24 cases（26.09%）, the middle level 60 case （65.22%）, and low level 8 cases（8.69%）;the social support gained （41.67 ±5.32）. There were positive correlations between the treatment compliance with self-efficacy and social support （ r =0.482,0.711, respectively;P 〈0.01 ） .Conclusions Patients with CHB have poor treatment compliance;however, high level of self-efficacy and favorable social support can improve treatment compliance.

关 键 词：肝炎 乙型 慢性 治疗依从性 自我效能 社会支持 相关性 

分 类 号：R473.5[医药卫生—护理学]