胃食管反流病患者自我管理行为依从性和自我效能相关性研究.docVIP

胃食管反流病患者自我管理行为依从性与自我效能的相关性研究 孙昌仙１，林征2*，林琳3，王美峰3 摘要：目的　了解胃食管反流病患者自我管理行为依从性和自我效能状况，并分析二者相关性。方法　采用自行编制的自我管理行为依从性问卷、慢性病自我效能量表对接受自我管理干预的83例胃食管反流病患者进行随访调查。结果 共随访76例，7例失访，随访时间9个月。患者自我管理行为依从性得分为（37.01±4.63）分（总分12~48分），其中抬高床头、膈肌生物反馈训练和穴位按摩依从性得分最低；患者自我效能总分（8.54±1.37）分（总分1~10分），其中仅1例（1.3%）表现为低水平自我效能；自我效能与自我管理行为依从性呈正相关。结论　胃食管反流病患者自我管理行为依从性总体较好，但抬高床头、膈肌生物反馈训练和穴位按摩依从性方面有待提高。医护人员应重视自我效能对自我管理行为依从性的促进作用。 关键词：胃食管反流病；自我管理；依从性；自我效能 Correlates of compliance of self-management and self-efficacy in patients with gastroesophageal reflux disease// Sun Changxian, Lin Zheng, Lin Lin, Wang Meifeng// (School of Nursing ,Nanjing Medical University ,Nanjing 210029,China) Abstract： Objective　To investigate compliance of self-management and self-efficacy in patients with gastroesophageal reflux disease and the relationship between them. Methods A total of 83 patients were followed up by self-designed self-management compliance questionnaire and Self-efficacy For Managing Chronic Disease Scale. Results 76 patients were followed up for 9 months and 7 were lost .The average score of compliance of self-management ranging from 12 to 48 was (37.01±4.63),and the scores of raising bedside, diaphragma biofeedback and acupoints massage were the lowest. The average score of self-efficacy ranging from 1 to 10 was (8.54±1.37).Only one patient accounting for 1.3% had low level of self-efficacy. There was a positive relationship between compliance of self-management and self-efficacy. Conclusion Patients with gastroesophageal reflux disease have a good compliance of self-management， but the compliance of raising bedside, diaphragma biofeedback and acupoints massage should be improved. Doctors and nurses should emphasize that self-efficacy can promote compliance of self-management. Key words: Gastroesophageal reflux disease; Self-management; Compliance; Self-efficacy 胃食管反流病（gastroesophageal reflux disease, GERD）是指胃内容物反流至食管引起不适症状和(或)并发症一种慢性病，其典型症状是烧心和反流[1]。根据中国胃食管反流病共识意见[2]，其治疗方式主要包括药物治疗和生活方式改善。自我管理是在应对慢性疾病过程中发