肾移植受者锻炼自我效能的相关因素分析  

Factors relevant to exercise self-efficacy in kidney transplant recipients

作　　者：王莎莎 靳清[3] 刘红霞[1] 高凤莉[2] 朱丽颖[3] 胡阅 刘航[3] 王晗 韩梦汐 Wang Shasha;Jin Qing;Liu Hongxia;Gao Fengli;Zhu Liying;Hu Yue;Liu Hang;Wang Han;Han Mengxi(School of Nursing,Beijing University of Traditional Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学护理学院,北京102488 [2]首都医科大学附属北京朝阳医院护理部 [3]首都医科大学附属北京朝阳医院泌尿外科

出　　处：《护理学杂志》2020年第14期21-24,共4页Journal of Nursing Science

基　　金：北京中医药大学在读研究生基本科研业务项目(2019-JYB-XS-120)。

摘　　要：目的了解肾移植受者术后锻炼自我效能的现状并探讨其相关因素,为临床制定针对性干预措施提供参考。方法采用一般资料调查表、锻炼行为阶段量表、锻炼自我效能量表和锻炼社会支持量表对308例肾移植受者进行调查。结果锻炼自我效能量表中行动自我效能(13.47±4.31)分,保持自我效能(35.41±11.70)分,恢复自我效能(9.91±3.49)分。多元线性回归分析结果显示,行动自我效能主要受锻炼社会支持、透析时间、血糖和肾功能的影响,保持自我效能主要受行动自我效能和锻炼社会支持的影响,恢复自我效能主要受保持自我效能的影响(P<0.05,P<0.01)。结论肾移植受者锻炼自我效能处于中等水平,受多种因素影响。建议临床医务人员加强科学锻炼指导,以提高患者的锻炼自我效能水平,促进患者健康锻炼行为。Objective To assess the status of and factors associated with exercise self-efficacy in patients after kidney transplantation.Methods A total of 308 kidney transplant recipients were recruited and filled out the self-designed general information questionnaire,the Exercise Stage Scale,the Exercise Self-efficacy Scale and the Exercise Social Support Scale.Results The patients scored(13.47±4.31),(35.41±11.70),and(9.91±3.49)points respectively in 3 subscales of pre-actional self-efficacy,maintenance self-efficacy and recovery self-efficacy.Multivariate regression analysis showed that,exercise social support,dialysis years,blood glucose levels,and renal function contributed to influence patients′pre-actional self-efficacy;pre-actional self-efficacy and exercise social support contributed to influence maintenance self-efficacy;maintenance self-efficacy contributed to influencing recovery self-efficacy(P<0.05,P<0.01).Conclusion Kidney transplant recipients had a medium level of exercise self-efficacy,which was affected by multiple factors.It is suggested that medical staff beef up exercise guidance to the patients,in an endeavor to improve their exercise self-efficacy and promote healthy exercise behaviors.

关 键 词：肾移植 锻炼行为 锻炼社会支持 透析 血糖 肾功能 锻炼自我效能 

分 类 号：R473.6[医药卫生—护理学]