肾移植患者赋能现状及影响因素分析  

Current status and influencing factors of kidney transplant patient empowerment

作　　者：王璇 钟蓓芬[2] 周意[2] 吴松起 管筱筠 于婵 毛莹颖 施雁[4] Wang Xuan;Zhong Beifen;Zhou Yi;Wu Songqi;Guan Xiaoyun;Yu Chan;Mao Yingying;Shi Yan(School of Medicine,Tongji University,Shanghai 200082,China;Nursing Department,Shanghai General Hospital,Shanghai 200080,China;Nursing Department,Shanghai First Maternity and Infant Hospital,Shanghai 201204,China;Nursing Department,Tenth People's Hospital of Tongji University,Shanghai 200072,China)

机构地区：[1]同济大学医学院,上海200082 [2]上海市第一人民医院护理部,上海200080 [3]上海市第一妇婴保健院护理部,上海201204 [4]同济大学附属第十人民医院护理部,上海200072

出　　处：《中华现代护理杂志》2023年第29期3963-3970,共8页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金面上项目(71774117)。

摘　　要：目的了解肾移植患者赋能现状,探讨影响肾移植患者赋能的因素。方法本研究为横断面调查研究。采用便利抽样法,选取2022年9—11月上海市第一人民医院肾移植科随访的201例患者作为研究对象,采用患者一般资料调查表、慢性病患者赋能量表、一般自我效能感量表、护患关系信任度量表和中文简短版慢性病资源调查表进行问卷调查。采用多重线性回归分析探讨肾移植患者赋能水平的影响因素。结果发放问卷201份,收集有效问卷197份,有效回收率为98.01%(197/201)。197例肾移植患者赋能总分为(161.85±13.08)分。多重线性回归分析显示,是否愿意参与健康决策、一般自我效能感以及慢性病资源支持是肾移植患者赋能的影响因素(P<0.05)。结论肾移植患者赋能处于中等偏上水平。患者是否愿意参与健康决策、一般自我效能感以及慢性病资源支持是肾移植患者赋能的影响因素。Objective To understand the current status of kidney transplant patient empowerment and explore the factors affecting kidney transplant patient empowerment.Methods This study was a cross-sectional survey.From September to November 2022,convenience sampling was used to select 201 patients who were followed up by the Renal Transplantation Department of Shanghai General Hospital as the study subject.A survey was conducted using the Patient General Information Questionnaire,Client Empowerment Scale(CES),General Self-Efficacy Scale(GSES),Nurse-Patient Trust Scale,and Chinese Version of Chronic Illness Resource Survey(CV-CIRS).Multiple linear regression analysis was used to explore the influencing factors of empowerment levels in kidney transplant patients.Results A total of 201 questionnaires were distributed and 197 valid questionnaires were collected,with an effective recovery rate of 98.01%(197/201).The total empowerment score of 197 kidney transplant patients was(161.85±13.08).Multiple linear regression analysis showed that willingness to participate in health decision-making,general self-efficacy,and chronic disease resource support were the influencing factors for kidney transplant patient empowerment(P<0.05).Conclusions The empowerment of kidney transplant patients is at a moderate to upper level.The willingness of patients to participate in health decision-making,general self-efficacy,and chronic disease resource support are influencing factors for kidney transplant patient empowerment.

关 键 词：横断面调查 肾移植 赋能 健康决策 自我效能 慢性病资源支持 

分 类 号：R473.6[医药卫生—护理学]