CAJ | 학술논문

目的探讨血液透析患者自我效能与自我管理行为之间的相关性.方法采用美国Stanford大学慢性疾病教育研究中心的自我效能量表和自我管理行为问卷对89例血液透析患者进行调查.结果本组89例血液透析患者自我效能平均得分为(6.55±1.97)分.其中自我效能水平高者20例占22.47％,自我效能水平中等者39例占43.82％,自我效能水平低者30例占33.7％.89例血液透析患者自我效能水平为(38.51±10.91)分,自我管理行为水平为(76.38±14.88)分；多元线性回归分析显示,职业及医疗费用对家庭的影响是血液透析患者自我管理行为的主要的影响因素(P＜0.05)；血液透析患者自我效能与自我管理行为之间呈正相关(r=0.43,P＜0.01).结论血液透析患者自我效能与自我管理行为之间存在密切关系,临床工作者应依据自我效能理论为依据,调动患者的自身潜能,通过护理干预来提高患者自我管理行为.
목적 탐토혈액투석환자자아효능여자아관리행위지간적상관성.방법 채용미국Stanford대학만성질병교육연구중심적자아효능량표화자아관리행위문권대89례혈액투석환자진행조사.결과 본조89례혈액투석환자자아효능평균득분위(6.55±1.97)분.기중자아효능수평고자20례점22.47％,자아효능수평중등자39례점43.82％,자아효능수평저자30례점33.7％.89례혈액투석환자자아효능수평위(38.51±10.91)분,자아관리행위수평위(76.38±14.88)분；다원선성회귀분석현시,직업급의료비용대가정적영향시혈액투석환자자아관리행위적주요적영향인소(P＜0.05)；혈액투석환자자아효능여자아관리행위지간정정상관(r=0.43,P＜0.01).결론 혈액투석환자자아효능여자아관리행위지간존재밀절관계,림상공작자응의거자아효능이론위의거,조동환자적자신잠능,통과호리간예래제고환자자아관리행위.
Objective To investigate the correlation between hemodialysis patients' self-efficacy and self-management behavior.Methods Using the United States Stanford University chronic centers for Disease Education Research self-efficacy and self-management behavior questionnaire survey was conducted in 89 cases of hemodialysis patients.Results The score of self-efficacy for hemodialysis patients was (38.51 ± 10.91),with 22.47％ patients of high level,43.82％ patients of medium level,and 33.7％ patients of low level.The score of self management behavior was (76.38 ± 14.88),and its impact factor were the occupation,and dialysis frequency (P ＜ 0.05).There was a significant positive correlation between self-efficacy and self-management behaviors of hemodialysis patients (r =0.43,P ＜ 0.01).Conclusions There is a close relationship between hemodialysis patients' self-efficacy and self-management behaviors,clinicians should be based on self-efficacy theory to mobilize the patient' s own potential,so as to improve patients' self-management behavior.