CAJ | 학술논문

目的：了解颈动脉粥样硬化性狭窄患者自我效能水平及其影响因素。方法选取102例颈动脉粥样硬化性狭窄患者，入院当天(术前3~6 d)采用一般自我效能感量表(GSES)对其进行问卷调查，测定患者的自我效能水平，并分析其相关因素。结果患者的自我效能得分为(2.12±0.76)分，病程、个人年收入、家庭功能、应对方式与动脉狭窄患者的自我效能水平有关(P<0.05)。多元线性回归分析显示，病程、家庭功能、应对方式中的面对为患者自我效能的有利因素，应对方式中的回避和屈服为不利因素。结论颈动脉粥样硬化性脉狭窄患者的自我效能评分不理想，存在一定的疾病知识缺乏；病程、个人年收入、家庭功能、应对方式影响动脉狭窄患者的自我效能水平。
목적：료해경동맥죽양경화성협착환자자아효능수평급기영향인소。방법선취102례경동맥죽양경화성협착환자，입원당천(술전3~6 d)채용일반자아효능감량표(GSES)대기진행문권조사，측정환자적자아효능수평，병분석기상관인소。결과환자적자아효능득분위(2.12±0.76)분，병정、개인년수입、가정공능、응대방식여동맥협착환자적자아효능수평유관(P<0.05)。다원선성회귀분석현시，병정、가정공능、응대방식중적면대위환자자아효능적유리인소，응대방식중적회피화굴복위불리인소。결론경동맥죽양경화성맥협착환자적자아효능평분불이상，존재일정적질병지식결핍；병정、개인년수입、가정공능、응대방식영향동맥협착환자적자아효능수평。
Objective To explore the self-efficacy level and influenced factors in patients with carotid atherosclerotic stenosis. Methods 102 patients with carotid atherosclerotic stenosis were selected and were invested by general self-evaluation scale (GSES) on admission day (3-6 days before surgery) to measure the level of self-efficacy and its related factors. Results General self-efficacy score was 2.12±0.76.The course of disease,personal annual income,family func-tion,coping style were related to self-efficacy level of patients (P<0.05).Multiple linear regressions showed that the posi-tive factors were course of disease,family function and facing of coping style,its negative factors were evade and surren-der of coping style. Conclusion Self-efficacy scores in patients with carotid atherosclerotic stenosis are unsatisfactory, patients lack of the knowledge about this disease.The course of disease,personal annual income,family function,coping style affect the self-efficacy level in patients with carotid artery atherosclerotic stenosis.