老年慢性心力衰竭患者自我管理水平与自我效能的相关性分析  

Correlation analysis between self-management and self-efficacy in senile patients with chronic heart failure

作　　者：金丽萍 荣晓珊[3] 江会 刘美丽 刘海荣[6] 张华丽[6] 李敬霞 武艳 彭幼清[9] Jin Liping;Rong Xiaoshan;Jiang Hui;Liu Meili;Liu Hairong;Zhang Huali;Li Jingxia;Wu Yah;Peng Youqing(Tonal University School of Medicine, Shanghai 200029, Chin;Department of Geriatrics, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 210127, China;Hemodialysis Room, Shanghai Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200120, Chin;Nursing Department, Shanghai First Maternity and Infant Hospital, Shanghai 201204, China;Department of Cardiology, the First Affiliated Hospital of Xi＇an Jiaotong University, Xi＇an 710000, Chin;Department of Cardiology, Shaanxi Second Provincial People＇s Hospital, Xi＇an 710005, Chin;Department of Cardiology, Xijing Hospital, the Fourth Military Medical University, Xi＇an 710032, China （Li JX;Department of Cardiology, Armed Police Corps Hospital of Shaanxi, Xi ＇an 710032, Chin;Nursing Department, Shanghai East Hospital. Tongji University, Shanghai 200120. Chin)

机构地区：[1]同济大学医学院,上海200029 [2]上海交通大学医学院附属仁济医院老年科,上海200127 [3]上海中医药大学附属曙光医院血透室,上海200021 [4]上海市第一妇婴保健院护理部,201204 [5]西安交通大学第一附属医院心内科,西安710000 [6]陕西省第二人民医院心内科,西安710005 [7]空军军医大学附属西京医院心内科,西安710032 [8]武警陕西总队医院心内科,西安710032 [9]同济大学附属东方医院护理部,上海200120

出　　处：《中华现代护理杂志》2018年第10期1143-1148,共6页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金面上项目（71473178）;浦东新区重点学科项目（PWZXK2017-01）

摘　　要：目的 调查老年慢性心力衰竭（CHF）患者的自我管理水平与自我效能的相关性.方法 采用便利抽样法,于2016年6 —12月应用一般人口学资料问卷、CHF患者自我管理量表、慢性病自我效能量表对西安市5所综合性三级甲等医院心内科住院的老年CHF患者共416例进行调查.结果 西安市老年CHF患者自我管理总分为（50.76±9.98）分,得分率为63.5%;药物管理（13.38±3.38）分,饮食管理（7.89±2.14）分,心理和社会管理（12.81±2.91）分,症状管理（16.69±4.26）分,得分率分别为66.9%、65.8%、64.1%、59.6%,处于中等水平;不同婚姻状况、人均收入和心功能分级患者自我管理总分差异均有统计学意义（t值分别为-2.443、10.906、16.229;P〈0.05）.自我效能总分为（34.30±11.90）分,得分率57.17%,处于中等水平.相关分析显示,患者自我效能与自我管理水平呈正相关（r=0.161,P〈0.05）.结论 西安市老年CHF患者的自我管理能力和自我效能均处于中等水平,有进一步提升的空间,两者密切相关.提示我们应增加对患者对疾病本身监管信心的关注,注重患者心理和社会支持,提升其自我效能,以提高患者的自我管理水平,对于CHF病情的控制及提高患者生活质量具有重要意义.Objective To explore the correlation between the self-management and self-efficacy of senile patients with chronic heart failure （CHF）. Methods In this study, the conveninent sampling method was adopted. From June to December 2016, totally 416 senile CHF patients hospitalized in the Department of Cardiology of 5 general class Ⅲ grade A hospitals in Xi＇an were investigated with the general demographic data questionnaire, self-management scale for CHF patients and chronic disease self-efficacy scale. Results The score of self-management in the senile CHF patients in Xi＇an totaled （50.76±9.98）, with a scoring rate of 63.5%; the scores of medication management, food and beverage management, psychological and social management and symptom management were （13.38±3.38）, （7.89±2.14）, （12.81±2.91） and （16.69±4.26）, with the scoring rates of 66.9%, 65.8%, 64.1% and 59.6%, respectively, showing a medium level; and there was statistically significant difference in the total self-management score between patients with different marital status, per capita income and heart function grading （t=-2.443, 10.906, 16.229;P〈0.05）. The score of self-efficacy totaled （34.30±11.90）, with a scoring rate of 57.17%, showing a medium level. The correlation analysis showed that there was a positive correlation between self-efficacy and self-management （r=0.161, P〈 0.05）. Conclusions The self-management and self-efficacy of the senile CHF patients in Xi＇an remain at a medium level, which could be possibly improved, and the two are closely correlated. The results suggest that we should pay more attention to the patient＇s management confidence in the disease itself, attach importance to their psychological and social support and enhance their self-efficacy, thus improving their self-management. This is of great significance in controlling CHF and improving the patient＇s quality of life.

关 键 词：心力衰竭 老年人 自我管理 自我效能 相关性 

分 类 号：R473.5[医药卫生—护理学]