重症急性胰腺炎患者自我效能感的影响因素  

Influencing factors of self-efficacy in patients with severe acute pancreatitis

作　　者：胡莹莹 吴敏 HU Yingying;WU Min(Emergency Ward,the First Affiliated Hospital of Nanjing Medical University,Jiangsu Province,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院急诊病区,江苏南京210029

出　　处：《中国医药导报》2022年第9期63-66,共4页China Medical Herald

摘　　要：目的分析重症急性胰腺炎(SAP)患者自我效能感的影响因素。方法选取南京医科大学第一附属医院2019年4月至2021年4月收治的100例SAP患者,待患者恢复自主意识后1周,评估患者自我效能感、创伤后成长水平[创伤后成长问卷(PTGI)]、自我感受负担[自我感受负担量表(SPBS)]及应对方式[简易应对方式问卷(SCSQ)]。询问患者家属并记录患者相关资料,比较不同资料特征患者自我效能感评分,分析SAP患者自我效能感的影响因素。结果纳入的100例SAP患者,自我效能感得分为(2.24±0.22)分。在业、积极应对患者自我效能感得分高于无业、消极应对患者,差异有统计学意义(P<0.05)。100例SAP患者PTGI评分为(66.42±4.25)分,SPBS评分为(36.52±3.85)分。经多元线性回归分析显示,无业(X_(1))、SCSQ评分(X_(2))、PTGI评分降低(X_(3))、SPBS评分(X_(4))升高是SAP患者自我效能感降低的影响因素(P<0.05)。得到线性方程:Y=3.218+0.050X_(1)-0.128X_(2)-0.018X_(3)+0.010X_(4)。结论无业、SCSQ评分、PTGI评分降低、SPBS评分升高是SAP患者自我效能感降低的影响因素。Objective To analyze the influencing factors of self-efficacy in patients with severe acute pancreatitis(SAP).Methods A total of 100 SAP patients treated in the First Affiliated Hospital of Nanjing Medical University from April 2019 to April 2021 were selected,after the patients regained their self-consciousness for one week,self-efficacy,levels of post traumatic growth(posttraumatic growth inventory[PTGI]),self perceived burden(self perceived burden scale[SPBS])and coping style(simplified coping style questionnaire[SCSQ])of patients were evaluated.The family members of patients was asked and the relevant data of patients was recorded,the self-efficacy scores of patients with different data characteristics were compared,the influencing factors of self-efficacy of SAP patients were analyzed.Results In the 100 SAP patients included,the self-efficacy score was(2.24±0.22)points.The self-efficacy scores of active and active coping patients were higher than those of unemployed and passive coping patients,and the differences were statistically significant(P<0.05).The PTGI score of 100 SAP patients was(66.42±4.25)points,and the SPBS score was(36.52±3.85)points.Multiple linear regression analysis showed that unemployed(X_(1)),SCSQ score(X_(2)),decreased PTGI score(X_(3)),and increased SPBS score(X_(4))were the influencing factors of decreased self-efficacy in SAP patients(P<0.05).The linear equation was obtained:Y=3.218+0.050X_(1)-0.128X_(2)-0.018X_(3)+0.010X_(4).Conclusion Unemployment,lower SCSQ score,lower PTGI score,and higher SPBS score are the influencing factors of the lower self-efficacy of SAP patients.

关 键 词：重症急性胰腺炎 自我效能感 创伤后成长水平 自我感受负担 应对方式 

分 类 号：R473.74[医药卫生—护理学]