天津护理

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腹膜透析患者自我效能与健康心理控制源的相关研究

  

  1. 天津中医药大学第一附属医院,天津   300193
  • 收稿日期:2017-02-22 修回日期:2017-09-19 出版日期:2017-12-28 发布日期:2018-01-16

 
The correlation study on self-efficacy and health locus of control among patients with peritoneal dialysis

  1. The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine ,Tianjin 300193
  • Received:2017-02-22 Revised:2017-09-19 Online:2017-12-28 Published:2018-01-16

摘要: 目的:调查腹膜透析患者的自我效能及健康心理控制源现状,分析两者之间的关系。方法:采用一般资料调查表、慢性病自我效能量表及多维度健康状况心理控制源量表对302例腹膜透析患者进行问卷调查。结果:患者自我效能得分为(5.48±1.08)分,单因素分析结果显示,腹膜透析患者医疗费用支付方式及透析时间是其自我效能的影响因素(P<0.05)。健康有势力他人控制得分最高,得分为(28.98±3.29)分,健康机遇控制得分最低,得分为(13.25±1.43)分,且健康内在控制及健康有势力他人控制得分均高于常模,而健康机遇控制得分低于常模,差异有统计学意义(P<0.05)。Pearson相关分析结果显示,腹膜透析患者自我效能及两维度均与健康内在控制呈正相关,疾病共性管理自我效能及总自我效能均与健康有势力他人控制呈正相关(P<0.05)。多元逐步回归分析结果显示,患者的健康内在控制、是否发生过腹膜透析并发症、腹膜透析时间及医疗费用支付方式对患者自我效能有预测作用,可解释变异的33.70%。结论:患者健康心理控制源以健康有势力他人控制为主,腹透患者的自我效能处于中等水平。因此,护理人员可根据患者的健康心理控制源类型及相关疾病特点,采取针对性的策略提高其自我效能水平。

关键词:  , 腹膜透析, 自我效能, 健康心理控制源

Abstract:  

Objective: To investigate the status of self-efficacy and health locus of control in patients with peritoneal dialysis (PD), and analyze the relationship between them.Methods: 302 patients with peritoneal dialysis were investigated by the general information questionnaire, Self-efficacy for chronic disease patients and Multidimensional Health Locus of Control Scale.Results: The self-efficacy score of peritoneal dialysis patients was (5.48+1.08). Univariate analysis showed that medical expenses payment and dialysis time of patients with peritoneal dialysis were the influence factors of self-efficacy (P<0.05). The score of healthy powerful others control (28.98+3.29) was highest, while the score of healthy chance control (13.25+1.43) was the lowest. The scores of health internal control and healthy powerful others control were higher than the norms, while the scores of healthy chance control were lower than the norms, the difference was statistically significant (P<0.05). Pearson correlation analysis showed the scores of self-efficacy and the two dimensions were positively correlated with healthy internal control in PD patients, while the scores of self-efficacy and the dimensions of disease common management were positively correlated with healthy powerful others control in peritoneal dialysis patients (P<0.05). Multiple stepwise regression analysis showed that the health internal control, whether there are complications of peritoneal dialysis, peritoneal dialysis time and payment of medical expenses can predict the self-efficacy of patients, explaining 33.70% of the variance.Conclusion: The health locus of control of PD patients was mainly healthy powerful others control, self-efficacy was in the medium level. Therefore, the nursing staff can adopt the corresponding strategies to improve self-efficacy of patients with peritoneal dialysis, according to the type of health locus of control and the characteristics of the disease.

Key words:  , Peritoneal Dialysis(PD);Self-Efficacy;Health Locus of Control