老年慢性病患者自我效能状况及其影响因素  

Study on Self-efficacy Status and Influencing Factors of Elderly Patients with Chronic Diseases

作　　者：袁婷 刘欢 李晓萍 李祥东[2] Yuan Ting;Liu Huan;Li Xiaoping;Li Xiangdong(Department of Nursing,Wannan Medical College,Wuhu 241000 China;Yijishan Hospital of Wannan Medical College,Wuhu 241000 China)

机构地区：[1]皖南医学院护理学院,安徽芜湖241000 [2]皖南医学院弋矶山医院,安徽芜湖241000

出　　处：《锦州医科大学学报》2020年第1期19-23,共5页Journal of Jinzhou Medical University

基　　金：安徽省教育厅高校人文社会科学研究项目，项目编号:SK2018A0199;安徽省教育厅高校优秀拔尖人才培育资助项目，项目编号:gxgwfx2019032

摘　　要：目的调查安徽省老年慢性病患者的自我效能现状及其主要影响因素。方法研究采取分层随机抽样方法,于2018年1月至2018年10月选取安徽省皖南、皖中、皖北地区的老年慢性病患者作为研究对象(1756名)进行问卷调查,应用一般情况调查表、慢性病自我效能量表(CDSES)、简版老年抑郁量表(GDS-15)调查安徽省老年慢性病群体的自我效能状况及抑郁状况。结果自我效能平均为(5.718±1.121)分,症状管理自我效能为(5.670±1.219)分,疾病共性管理自我效能为(5.800±1.434)分,抑郁为(6.640±2.659)分。多元逐步线性回归结果显示,婚姻状况、居住地、文化程度是自我效能保护因素;有吸烟史和抑郁是自我效能的危险因素。结论安徽省老年慢性病患者自我效能处于中低水平,在对慢性病进行干预时,应针对自我效能影响因素,从而促进老年慢病患者自我管理行为,实现慢病管理的预期目标。Objective To investigate the self-efficacy status and its main influencing factors of elderly patients with chronic diseases in Anhui Province.Methods 1756 elderly patients with chronic diseases in the south,central and north part of Anhui from January to October 2018 were chosen to receive a questionnaire survey with the stratified random sampling method.General Situation Questionnaires and Chronic Disease Self-Efficacy Scale(CDSES)and simplified version of Geriatric Depression Scale(GDS-15)were used to evaluate the self-efficacy and depression status of elderly patients with chronic disease.Results The average score of self-efficacy was(5.718±1.121),the score of symptom management self-efficacy was(5.670±1.219),the score of disease common management self-efficacy was(5.800±1.434),and the total score of depression was(6.640±2.659).Multiple stepwise linear regression results showed that marital status,place of residence,and education were protective factors for self-efficacy;smoking history and depression were risk factors for self-efficacy.Conclusion The self-efficacy of elderly patients with chronic diseases in Anhui Province is at a low level.When intervening in chronic diseases,relevant departments should focus on the influencing factors of self-efficacy to promote the self-management behavior of elderly patients with chronic diseases and achieve the expected goals of chronic disease management.

关 键 词：老年 慢性病 自我效能 抑郁 

分 类 号：R592[医药卫生—老年医学]