骶神经调控术后一期患者自我护理能力现状调查及影响因素分析  

Status investigation and influencing factors of self-care ability of patients after sacral neuromodulation in the first stage

作　　者：丁清清[1] 赵瑶 丁子钰 李佳佳[1] 吴卓葳 刘会范[2] Ding Qingqing;Zhao Yao;Ding Ziyu;Li Jiajia;Wu Zhuowei;Liu Huifan(Department of Urinary Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Education,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院泌尿外科,郑州450052 [2]郑州大学第一附属医院教育处,郑州450052

出　　处：《中华现代护理杂志》2022年第24期3288-3292,共5页Chinese Journal of Modern Nursing

基　　金：2018年河南省医学科技攻关计划项目(2018010004);2019年河南省医学教育研究项目(wjlx2019033)。

摘　　要：目的调查骶神经调控术后一期患者自我护理能力现状,分析其影响因素。方法采用便利抽样法,选取2019年7月—2021年7月郑州大学第一附属医院泌尿外科收治的106例骶神经调控术后一期患者,采用一般资料调查表、自我护理能力测定量表(ESCA)、慢性病自我效能量表(SECD6)对其进行调查。采用t检验、单因素方差分析、Pearson相关分析、多重线性回归分析探讨自我护理能力的影响因素。结果骶神经调控术后一期患者的自我护理能力得分为(80.07±21.39)分,其中高等水平9例(8.5%),中等水平81例(76.4%),低等水平16例(15.1%)。不同职业状况、医保类型、居住地、居住状况、文化程度、家庭人均月收入的患者自我护理能力得分差异有统计学意义(P<0.05);患者自我护理能力总分及各维度评分均与自我效能得分呈正相关(P<0.05)。多重线性回归分析结果显示,职业状况、文化程度、家庭人均月收入、自我效能为骶神经调控术后一期患者自我护理能力的主要影响因素(P<0.05)。结论骶神经调控术后一期患者的自我护理能力总体处于中等水平,患者自我护理能力有待进一步提高,尤其是自我护理技能需要加强。护理人员应根据不同的影响因素给予患者个体化的健康指导,帮助其提高自我护理能力。Objective To investigate the status quo of self-care ability of patients after sacral neuromodulation in the first stage,and analyze its influencing factors.Methods The convenient sampling method was used to select 106 patients after sacral neuromodulation in the first stage who were admitted to Department of Urology in the First Affiliated Hospital of Zhengzhou University from July 2019 to July 2021.Questionnaires were carried out using general information questionnaire,Exercise of Self-Care Agency Scale(ESCA)and Self-efficacy for Chronic Disease 6-Item Scale(SECD6).The t test,one-way ANOVA,Pearson correlation analysis and multiple linear regression analysis were used to explore the influencing factors of self-care ability.Results The self-care ability score of the first stage patients after sacral neuromodulation was(80.07±21.39),including 9 cases(8.5%)with high level,81 cases(76.4%)with medium level and 16 cases(15.1%)with low level.There were statistically significant differences in the self-care ability scores of patients with different occupational status,medical insurance type,place of residence,residence status,educational level and per capita monthly income of the family(P<0.05).The total score and each dimension score of patients'self-care ability were positively correlated with the self-efficacy score(P<0.05).The results of multiple linear regression analysis showed that occupational status,educational level,per capita monthly family income and self-efficacy were the main influencing factors of self-care ability of patients after sacral neuromodulation in the first stage(P<0.05).Conclusions The self-care ability of the first stage patients after sacral neuromodulation is generally at a moderate level and the self-care ability of patients needs to be further improved,especially the self-care skills need to be strengthened.Nursing staff should give patients individualized health guidance according to different influencing factors to help them improve their self-care ability.

关 键 词：横断面研究 骶神经调控术 自我护理能力 自我效能 影响因素 

分 类 号：R473.6[医药卫生—护理学]