肝硬化失代偿期患者健康赋权水平现状及其影响因素分析  

Analysis of the status quo of health empowerment level and its influencing factors in patients with decompensated cirrhosis

作　　者：杨蕊 周晓宇 王娇 YANG Rui;ZHOU Xiaoyu;WANG Jiao(Department of Hepatobiliary Infection,Zhumadian Traditional Chinese Medicine Hospital,Zhumadian,Henan 463000,China;Operating Room,Zhumadian Traditional Chinese Medicine Hospital,Zhumadian,Henan 463000,China)

机构地区：[1]驻马店市中医院肝胆感染科,河南驻马店463000 [2]驻马店市中医院手术室,河南驻马店463000

出　　处：《现代医药卫生》2024年第13期2256-2259,共4页Journal of Modern Medicine & Health

摘　　要：目的探讨肝硬化失代偿期患者健康赋权水平及其影响因素。方法选择2021年7月至2023年9月该院肝胆感染科收治的70例肝硬化失代偿期患者,采用一般资料问卷、老年慢性病患者健康赋权量表、一般自我效能感量表、多伦多述情障碍量表、中文版心理弹性量表实施问卷调查,分析肝硬化失代偿期患者健康赋权水平及其影响因素。结果肝硬化失代偿期患者健康赋权总分为(93.63±20.12)分。不同文化程度、病程肝硬化失代偿期患者健康赋权水平比较,差异均有统计学意义(P<0.05)。不同年龄、婚姻状况、性别、患肝硬化病因、家庭人均月收入、医疗支付方式肝硬化失代偿期患者健康赋权水平比较,差异均无统计学意义(P>0.05)。肝硬化失代偿期患者自我效能得分为(28.70±2.31)分、心理弹性得分为(70.32±6.24)分,与健康赋权水平呈正相关(P<0.05);述情障碍得分为(56.86±3.95)分,与健康赋权水平呈负相关(P<0.05)。经多因素分析显示,文化程度、病程、自我效能、述情障碍、心理弹性均是影响肝硬化失代偿期患者健康赋权水平的危险因素(P<0.05)。结论肝硬化失代偿期患者健康赋权水平有待提高,且受患者文化程度、病程、自我效能、述情障碍、心理弹性影响。Objective To explore the level of health empowerment and its influencing factors in patients with decompensated cirrhosis.Methods A total of 70 patients with decompensated cirrhosis admitted to the hospital from July 2021 to September 2023 were selected.The general information questionnaire,the Elderly Chronic Disease Health Empowerment Scale,the General Self Efficacy Scale,the Toronto Alexithymia Scale,and the Chinese version of the Psychological Resilience Scale were used to conduct a questionnaire survey to analyze the health empowerment level of patients with decompensated cirrhosis and its influencing factors.Results The total score of health empowerment of patients with decompensated cirrhosis was(93.63±20.12)points.There were statistically significant differences in the level of health empowerment among patients with different educational levels and course of cirrhosis(P<0.05).There were no significant differences in the level of health empowerment among patients with decompensated cirrhosis of different ages,marital status,gender,etiology of cirrhosis,family per capita monthly income,and medical payment methods(P>0.05).The self-efficacy score of patients with decompensated cirrhosis was(28.70±2.31)points,and the psychological resilience score was(70.32±6.24)points,which was positively correlated with the level of health empowerment(P<0.05).The score of alexithymia was(56.86±3.95)points,which was negatively correlated with the level of health empowerment(P<0.05).Multivariate analysis showed that education level,course of disease,self-efficacy,alexithymia and psychological resilience were all risk factors affecting the level of health empowerment level of patients with decompensated cirrhosis(P<0.05).Conclusion The level of health empowerment of patients with decompensated cirrhosis needs to be improved,which is affected by the patient′s education level,course of disease,self-efficacy,alexithymia and psychological resilience.

关 键 词：肝硬化失代偿期 健康赋权 自我效能 述情障碍 心理弹性 

分 类 号：R657.31[医药卫生—外科学]