慢性阻塞性肺疾病患者自我效能现状及其影响因素研究 - 中国护理管理.pdf

论 著 Research Paper 慢性阻塞性肺疾病患者自我效能现状及其 影响因素研究 马伟光 郭爱敏 石松华 吴旭 潘瑞丽 杨经玉 [ 摘 要] 目的：调查慢性阻塞性肺疾病（COPD)患者的自我效能现状，分析其影响因素，为进一步制定自我效能干预策略 提供参考。方法：将2013 年9月至 2014 年12月期间入住北京两家三级甲等医院呼吸科、经治疗处于稳定状态的患者共109 例 纳入研究，采用慢性病自我效能测量表对研究对象的自我效能水平进行测量。采用t 检验、方差分析进行变量筛选，有统计学 意义的变量再进行多元线性回归分析。结果：COPD患者自我效能水平总均分仅为（2.89±1.86) 分，处于低水平；既往急性加 重次数（β=-0.293）和疾病严重程度（β=-0.367）是自我效能的影响因素；与子女共同居住（β=0.312) 会对自我效能产生积 极影响。结论：COPD患者自我效能水平较低，既往急性加重次数、疾病严重程度、居住状况均可影响COPD患者自我效能， 但对自我效能影响程度更大的因素尤其是可干预的影响因素有待于进一步研究。 [ 关键词 ] 慢性阻塞性肺疾病；自我效能；影响因素分析；自我管理 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.07.011 The current status and influencing factors of self-efficacy in patients with COPD / MA Weiguang, GUO Aimin, SHI Songhua, WU Xu, PAN Ruili, YANG Jingyu // School of Nursing, Peking Union Medical College, Beijing, 100144 China /// Chinese Nursing Management-2015,15(7): 808-811 [ ] Abstract Objective: To explore the current status and influencing factors of self-efficacy in COPD patients, in order to provide reference for nurses to make further self-efficacy intervention strategy. Methods: Totally 109 COPD patients staying in a Respiratory Unit at 2 Tertiary hospitals in Beijing from Sept, 2013 to Dec, 2014 were collected. These patients were medically stable after treatment and took the Chronic Disease Self-Efficacy Evaluation questionnaire. T test and variance analysis were used for variable selection; Multiple regression analysis was used again to statistical significant index. Results: The average score of self- efficacy in COPD patients was only 2.89±1.86 (range from 1 to 10 for each item), and frequency of acute exacerbation, severity of disease and resident condition were influencing factors. Conclusions: The level of self-efficacy in COPD patients is relatively low, and its stronger infl