冠状动脉搭桥术后患者自我效能与生活质量的相关性分析  

Correlation analysis of self-efficacy and quality of life among patients after coronary artery bypass grafting

作　　者：岳爱学[1] 王小芳[1] 权循炎[3] 朱丽芹[2] 陈昭贤[2] 

机构地区：[1]同济大学附属东方医院心外科,上海200123 [2]同济大学附属东方医院护理部,上海200123 [3]安徽省淮南市第一人民医院手术室,232007

出　　处：《中华现代护理杂志》2015年第9期1019-1021,共3页Chinese Journal of Modern Nursing

基　　金：上海市心外科重点专科，上海市浦东新区卫生、计生科技项目

摘　　要：目的：探讨冠状动脉搭桥术后患者自我效能感与生活质量之间的相关性。方法采用一般资料问卷、Barnason自我效能量表和简明健康状况调查表（ MOS-SF 36）对冠状动脉搭桥术88例患者,分别于术后2周、6周和3个月进行调查和相关分析。结果88例患者术后2周、6周、3个月的自我效能感得分分别为（42.8±5.4）,（44.5±4.2）,（47.6±5.6）分,术后自我效能感逐渐增强,差异有统计学意义（F=3.425,P〈0.05）。患者术后生活质量总分分别为2周（73.7±11.4）分、6周（85.9±10.6）分和3个月（93.9±16.2）分；自我效能得分与生活质量得分呈正相关（r值分别为0.411,0.447,0.307；P〈0.01）。结论冠状动脉搭桥术后患者的生活质量和自我效能都得到提高,护理人员应以自我效能理论为原则,加强护理工作提高患者的自我效能感,有助于改善患者术后的生活质量。Objective To address the correlation between self-efficacy and quality of life in patients after coronary artery bypass graft. Methods A total of 88 patients in our hospital were investigated by using general data questionnaire, Barnason self-efficacy scale and concise health questionnaire （ MOS-SF 36 ） at 2 weeks, 6 weeks and 3 months after coronary artery bypass graft. Results The self-efficacy scores were （42. 8 ± 5. 4） at 2 weeks after operation, （44. 5 ± 4. 2） at 6 weeks after operation and （47. 6 ± 5. 6） at 3 months after operation, and the scores of quality of life were （73. 7 ± 11. 4） at 2 weeks after operation, （85. 9 ± 10. 6） at 6 weeks afteroperationand（93.9±16.2）at3monthsafteroperation（F=3.452,P〈0.05）. Afteroperation,theself-efficacy increase gradually, and the difference was statistically significant. The scores of quality of life were （73. 7 ± 11. 4） at 2 weeks, （85. 9 ± 10. 6） at 6 weeks, and （93. 9 ± 16. 2） at 3 months after operation, and there was a positive correlation between self-efficacy and quality of life （ r=0. 411, 0. 447, 0. 307,respectively;P〈0. 01）. Conclusions The quality of life and self-efficacy of patients after coronary artery bypass surgery are improved, and the two are positively correlated. Nursing staff should be based on principles of self-efficacy theory to strengthen the nursing work which may improve the patient′s self-efficacy and the quality of life.

关 键 词：冠状动脉旁路移植术 自我效能感 生活质量 

分 类 号：R473.6[医药卫生—护理学]