原发性胆汁反流性胃炎患者自我效能感调查、危险因素及干预对策  

Investigation of Self-Efficacy,Risk Factors,and Intervention Strategies in Patients with Primary Biliary Reflux Gastritis

作　　者：张梦凡 ZHANG Mengfan(Department of Gastroenterology,Henan Provincial People’s Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]河南省人民医院消化内科,河南郑州450000

出　　处：《临床研究》2024年第8期76-79,共4页Clinical Research

摘　　要：目的调查原发性胆汁反流性胃炎(PBRG)患者自我效能感,并分析其危险因素,制定合理的干预对策。方法选取河南省人民医院2020年5月至2023年2月收治的108例PBRG患者,采用一般自我效能感量表(GSES)调查患者自我效能感现状,收集其基本资料,并进行单因素分析与多元线性回归分析。结果108例PBRG患者平均GSES评分为(23.86±3.24)分;年龄≥60岁、初中及以下文化程度、病程≥2年、支付方式自费、消极应对方式、有不良心理状态、社会支持度低患者的GSES评分更低,差异均有统计学意义(P<0.05);多元线性回归分析结果显示,年龄≥60岁、初中及以下文化程度、病程≥2年、支付方式自费、消极应对方式、有不良心理状态、社会支持度低是影响PBRG患者GEES评分的独立危险因素,差异均有统计学意义(P<0.05)。结论PBRG患者自我效能感处于中等水平,年龄、文化程度、病程、支付方式、应对方式、不良心理状态及社会支持度等因素均可能对其产生影响,应制定针对性的干预对策。Objective To investigate the self-efficacy of patients with Primary Bile Reflux Gastritis(PBRG),analyze its risk factors,and formulate reasonable intervention strategies.Methods A total of 108 PBRG patients admitted to Henan Provincial People’s Hospital from May 2020 to February 2023 were selected.The General Self-Efficacy Scale(GSES)was used to investigate the current status of patients’self-efficacy.Their basic information was collected,and univariate analysis and multivariate linear regression analysis were conducted.Results The average GSES score of the 108 PBRG patients was(23.86±3.24)points.The GSES scores of patients aged≥60 years,with junior high school education or below,disease duration≥2 years,self-paying,negative coping style,having adverse psychological status,and low social support were lower,and the differences were statistically significant(P<0.05).Multivariate linear regression analysis showed that age≥60 years,junior high school education or below,disease duration≥2 years,self-paying,negative coping style,having adverse psychological status,and low social support were independent risk factors affecting the GSES score of PBRG patients,and the differences were statistically significant(P<0.05).Conclusion The self-efficacy of PBRG patients is at a medium level.Factors such as age,educational level,disease duration,payment method,coping style,adverse psychological status,and social support may all have an impact.Therefore,targeted intervention strategies should be formulated.

关 键 词：原发性胆汁反流性胃炎 自我效能感 危险因素 干预对策 

分 类 号：R322.48[医药卫生—人体解剖和组织胚胎学]