肝硬化患者不确定感对自我管理行为、自我效能、应对方式的影响.docxVIP

? ? 肝硬化患者不确定感对自我管理行为、自我效能、应对方式的影响 ? ? 黄玲飞　　杨娟　　邬菊英 [Summary] 目的 探討肝硬化患者不确定感对自我管理行为、自我效能、应对方式的影响。 方法 选择2019年7月至2020年6月在我院诊断治疗的肝硬化患者60例为研究对象，根据不确定感调查结果分为低水平组16例、中水平组30例、高水平组14例。比较三组自我管理行为、自我效能、应对方式评分，分析肝硬化患者不确定感水平与自我管理行为、自我效能、应对方式的相关性。 结果 不确定感低水平组患者自我管理行为为（74.3±8.3）分、自我效能为（30.3±3.6）分、应对方式为（48.6±5.3）分，在三组中均最高，高水平组上述评分均最低，三组比较，差异有统计学意义（P [Key] 肝硬化;不确定感;自我管理行为;自我效能;应对方式 [] R657.3? ? ? ? ? [] B? ? ? ? ? [] 1673-9701（2021）10-0102-04 The influence of uncertainty in patients with liver cirrhosis on self-management behavior， self-efficacy and coping style HUANG Lingfei? ?YANG Juan? ?WU Juying Department of Liver Diseases， Xixi Hospital of Hangzhou， Hangzhou? ?310023， China [Abstract] Objective To explore the impact of uncertainty on self-management behavior， self-efficacy， and coping styles in patients with liver cirrhosis. Methods Sixty patients with liver cirrhosis diagnosed and treated in our hospital from July 2019 to June 2020 were selected as the research objects. According to the survey results of uncertainty， they were divided into low-level group （16 cases）， medium-level group （30 cases） and high-level group （14 cases）. The self-management behavior， self-efficacy and coping style scores of the three groups were compared. The correlation between the level of uncertainty in patients with liver cirrhosis and self-management behavior， self-efficacy and coping style were analyzed. Results The self-management behavior （74.3±8.3） points， self-efficacy （30.3±3.6） points， and coping style score （48.6±5.3） points of patients in the low-level uncertainty group were the highest score among the three groups， while the high-level group had the lowest score， the differences in the three groups were statistically significant（P [Key words] Cirrhosis; Uncertainty; Self-management behavior; Self-efficacy; Coping style 肝硬化是由于不同的疾病因素长期作用于肝脏而导致的一种慢性、进行性、弥漫性的肝病终末阶段。在我国，肝硬化的年发病率为17/100 000，且20～50岁男性多发，城市男性患者的病死率高。肝硬化根据患者病程分为代偿期与失代偿期，目前缺乏有效的治愈方法，给患者造成了较大的心理负担。不确定感是指当对一件事无法给予适当的分类或组织时产生的认