腰椎间盘突出症患者自我管理行为现状及影响因素分析  

Current status and predictors of self-management behavior in patients with lumbar disc herniation

作　　者：黄英苗[1] 李丽霞[2] 黄小玲[3] Huang Yingmiao;Li Lixia;Huang Xiaoling(The Second Department of Orthopedics,Zhuhai Hospital of Guangdong Province Traditional Chinese Medical Hospital,Zhuhai 519015,China;Department of Rehabilitation,Zhuhai Hospital of Guangdong Province Traditional Chinese Medical Hospital,Zhuhai 519015,Chin;Department of Respiratory Medicine,the Fifth Hospital Affiliated to Sun Yat-sen University,Zhuhai 519000,Chin)

机构地区：[1]广东省中医院珠海医院骨二科,珠海519015 [2]广东省中医院珠海医院康复科,珠海519015 [3]中山大学附属第五医院呼吸内科,珠海519000

出　　处：《中华现代护理杂志》2018年第20期2377-2382,共6页Chinese Journal of Modern Nursing

基　　金：珠海市卫生和计划生育局医学科研基金立项课题（2015J001）

摘　　要：目的调查腰椎间盘突出症患者自我管理行为现状，分析其影响因素。方法选择2016年1月—2017年5月在广东省中医院珠海医院诊治的腰椎间盘突出症患者188例，使用慢性病患者自我管理行为量表、慢性病自我效能量表和社会支持评定量表对患者进行调查，应用多元线性回归分析法探讨其自我管理行为的影响因素。结果腰椎间盘突出症患者的自我管理行为得分为（23.93±6.79）分，自我效能量表总分（43.76±7.68）分，社会支持评定量表总分（40.86±5.53）分。Pearson相关性分析显示，患者自我效能感及社会支持与自我管理行为得分呈正相关（r值分别为0.450、0.311；P〈0.05）。多元线性回归分表明，文化程度、人均月收入、住院次数、自我效能感及社会支持为患者自我管理行为的影响因素（P〈0.05）。结论腰椎间盘突出症患者的自我管理行为有待进一步提升，医护人员应注意提升患者的自我效能感及调动社会支持力量，以提升其自我管理行为，改善疾病预后。ObjectiveTo investigate the current status and predictors of self-management behavior in patients with lumbar disc herniation. MethodsA total of 188 patients with lumbar disc herniation who were treated in Zhuhai Hospital from January 2016 to May 2017 were selected in this study. The participants were investigated using Self-Management Behavior Scale for Chronic Disease, Self-Efficacy Scale for Chronic Disease, and Social Support Rating Scale. The multivariate linear regression was used to explore the predictors of self-management behavior.ResultsThe score for self-management behavior in patients with lumbar disc herniation was （23.93±6.79） points. The score for self-efficacy was （43.76±7.68） points, and the score for social support was （40.86±5.53） points. The Pearson correlation test showed that the self-management was positively correlated with self-efficacy and social support （r=0.450, 0.311; P〈0.05） . The multivariate linear regression showed that the predictors of self-management behavior in patients with lumbar disc herniation included education, monthly income per person, number of admissions, self-efficacy, and social support （P〈0.05） .ConclusionsThe self-management behaviors in patients with lumbar disc herniation need further improvement. The doctors and nurses should help improve patients＇ self-efficacy and mobilize the social support to promote their self-management behaviors and prognosis of the disease.

关 键 词：椎间盘移位 慢性病 自我管理 自我效能 社会支持 影响因素 

分 类 号：R473.6[医药卫生—护理学]