CAJ | 학술논문

目的探讨慢性阻塞性肺疾病(COPD)患者自我效能相关影响因素,为提高患者自我疾病管理水平提供依据.方法 2008年10月至2009年3月,以方便抽样方法筛选上海某社区320例COPD患者,通过现场问卷、量表调查和肺功能检查,了解COPD患者自我效能相关影响因素.结果社区COPD患者自我效能总分(74.24±9.50)分,286例(89.4％)为中度水平自我效能.将疾病知识、社会支持、第一秒用力呼气容积占用力肺活量百分数( FEV1/FVC)、自我管理行为进入回归方程,可解释因变量全部变异的57.1％.结论疾病知识、社会支持、FEV1/FVC、自我管理行为是影响患者自我效能的主要因素；应通过提高患者疾病知识、加强心理护理及社会支持等措施,促进患者自我效能水平的提升.
목적 탐토만성조새성폐질병(COPD)환자자아효능상관영향인소,위제고환자자아질병관리수평제공의거.방법 2008년10월지2009년3월,이방편추양방법사선상해모사구320례COPD환자,통과현장문권、량표조사화폐공능검사,료해COPD환자자아효능상관영향인소.결과 사구COPD환자자아효능총분(74.24±9.50)분,286례(89.4％)위중도수평자아효능.장질병지식、사회지지、제일초용력호기용적점용력폐활량백분수( FEV1/FVC)、자아관리행위진입회귀방정,가해석인변량전부변이적57.1％.결론 질병지식、사회지지、FEV1/FVC、자아관리행위시영향환자자아효능적주요인소；응통과제고환자질병지식、가강심리호리급사회지지등조시,촉진환자자아효능수평적제승.
Objective To investigate the self-efficacy levels and its influencing factors of community-based patients with chronic obstructive pulmonary diseases (COPD).Methods From October 2008 to March 2009,320 community COPD patients were recruited from a Shanghai community.They undertook questionnaires,scale survey and pulmonary function testing so as to investigate the influencing factors of self-efficacy.Results The total scale of self-efficacy was 74.24 ± 9.50 and the level of selfefficacy in 286 cases( 89.4％ )was intermediate.The knowledge of COPD,social supports,forced expiratory volume at 1 second (FEV1)/forced vital capacity (FVC) and self-management level were entered into regression equation and could explain 57.1％ of the total variance of independent variables.Conclusions The knowledge of COPD,social supports,FEV1/FVC and self-management level are the major influencing factors of self-efficacy in the COPD patients.We should improve the knowledge of disease and strengthen the psychological care and social supports so as to improve their quality of life.