CAJ | 학술논문

目的了解维持性血液透析患者自我管理行为与自我效能状况,并分析其相关性.方法采用问卷调查方式对2010年2-4月98例进行维持性血液透析治疗的患者进行横断面研究.问卷内容包括患者的一般资料、自我管理行为及自我效能三部分,并对患者自我管理行为与自我效能进行相关分析.结果本研究共包括98例符合条件的维持性血液透析患者,调查问卷回收率为100％.各项自我管理行为情况依次为:对疾病的监测和用药依从性(7.45±1.08)分、饮食行为(5.24±2.20)分、参与治疗决策行为(3.04±1.84)分、情绪和症状管理行为(2.26±1.76)分及运动行为(106.38±111.53)min/周.本组病例自我效能评分为(6.31±2.55)分,仅40.2％患者具备高水平的自我效能.相关分析显示患者自我效能水平与运动行为(r=0.367,P＜0.01)及情绪和症状管理行为(r=0.281,P＜0.01)均呈正相关.结论维持性血液透析患者自我效能与自我管理行为之间关系密切,患者自我效能的提高也许有助于其自我管理能力的改进.
목적 료해유지성혈액투석환자자아관리행위여자아효능상황,병분석기상관성.방법 채용문권조사방식대2010년2-4월98례진행유지성혈액투석치료적환자진행횡단면연구.문권내용포괄환자적일반자료、자아관리행위급자아효능삼부분,병대환자자아관리행위여자아효능진행상관분석.결과 본연구공포괄98례부합조건적유지성혈액투석환자,조사문권회수솔위100％.각항자아관리행위정황의차위:대질병적감측화용약의종성(7.45±1.08)분、음식행위(5.24±2.20)분、삼여치료결책행위(3.04±1.84)분、정서화증상관리행위(2.26±1.76)분급운동행위(106.38±111.53)min/주.본조병례자아효능평분위(6.31±2.55)분,부40.2％환자구비고수평적자아효능.상관분석현시환자자아효능수평여운동행위(r=0.367,P＜0.01)급정서화증상관리행위(r=0.281,P＜0.01)균정정상관.결론 유지성혈액투석환자자아효능여자아관리행위지간관계밀절,환자자아효능적제고야허유조우기자아관리능력적개진.
Objective To explore the association between self-management and self-efficacy in patients undergoing maintenance hemodialysis (HD) so as to improve their self-management behaviors in the course of treatment.Methods A questionnaire was used to assess self-management behaviors and self-efficacy in 98 patients from our HD center between February and April 2010,and the data was analyzed.Results A total of 98 HD patients were included in this study.The scores of self-management items were (7.45 ± 1.08) in the compliance to taking medicines and monitoring the state of illness,(5.24 ± 2.20) in managing the behaviors of dietary intake,(3.04 ± 1.84) in participating in decision-making,(2.26 ± 1.76) in controlling the mode and symptoms,and (106.38 ± 111.53) min/week in taking part in exercises,respectively.The score of self-efficacy was (6.31 ±2.55),only 40.2％ patients achieved the advanced level of self-efficacy.Self-efficacy was significantly correlated with taking part in exercises (r =0.367,P ＜ 0.01) and controlling the mode and symptoms (r =0.281,P ＜ 0.01).Conclusions There is association between self-management and self-efficacy in our HD patients,and increasing the self-efficacy may improve patients' self-management behaviors.