CAJ | 학술논문

目的探讨心源性心力衰竭患者自我效能水平及其影响因素,为制订护理干预措施提供科学依据,从而提高患者的生活质量和整体护理质量.方法采用慢性心力衰竭自我效能量表、特定活动量表和社会支持量表,通过方便抽样法,对100例再人院心源性心力衰竭患者进行问卷调查.以自我效能总分及各因子得分为应变量,以一般资料、特定活动量表和社会支持量表的各项目为自变量进行多元线性逐步回归分析.结果心力衰竭患者自我效能平均得分(25.50±7.53)分,个人年收入、社会支持系统、病程及就医付费方式四个主要因素与心力衰竭患者的自我效能水平有关(t分别为3.061,4.359,6.175,2.072;P＜0.05).其影响因素主要为住院次数、急性心力衰竭发作频率、支持系统.结论慢性心力衰竭患者的自我效能有待提高,护理人员应注重病程较长及社会支持系统不完善患者的自我效能的提高.
목적 탐토심원성심력쇠갈환자자아효능수평급기영향인소,위제정호리간예조시제공과학의거,종이제고환자적생활질량화정체호리질량.방법 채용만성심력쇠갈자아효능량표、특정활동량표화사회지지량표,통과방편추양법,대100례재인원심원성심력쇠갈환자진행문권조사.이자아효능총분급각인자득분위응변량,이일반자료、특정활동량표화사회지지량표적각항목위자변량진행다원선성축보회귀분석.결과 심력쇠갈환자자아효능평균득분(25.50±7.53)분,개인년수입、사회지지계통、병정급취의부비방식사개주요인소여심력쇠갈환자적자아효능수평유관(t분별위3.061,4.359,6.175,2.072;P＜0.05).기영향인소주요위주원차수、급성심력쇠갈발작빈솔、지지계통.결론 만성심력쇠갈환자적자아효능유대제고,호리인원응주중병정교장급사회지지계통불완선환자적자아효능적제고.
Objective To evaluate the level of self-efficacy in heart failure patients and to investigate the potentially key factors as well, which, in turn, can optimize healthy education, increase the level of self-efficiency, raise the quality of life, and ultimately improved the overall quality of nursing care. Methods Using especially designed self-efficacy scale, specific activity scale and social support scale, 100 cases of readmission of patients with chronic heart failure was conveniently sampled to be inquired by a questionnaire. Multiple linear regression analysis were used in this study to investigate the potentially key factors related to the level of self-efficacy. Results The average points score of Self-efficacy in patients with heart failure was (25.50 ± 7.53 ). It also suggest that personal annual income, social support system, medical care payment methods and duration play important roles in the level of self-efficacy ( t = 3.061、4. 359、2. 072、6. 175, P ＜ 0. 05 ). Conclusions The level of self-efficacy in patients with heart failure needs to be further improved, many factors contribute to the level of self-efficacy in patients with heart failure, especially duration and social support system, on which should be paid enough attention.