CAJ | 학술논문

目的：调查深圳市某三级甲等综合医院维持性血液透析患者症状管理自我效能状况，分析其影响因素。方法：采用便利抽样法，对127例血液透析中心透析患者进行问卷调查。采用一般资料调查表、症状管理自我效能量表（SESMs）、血液透析知识水平问卷和社会支持水平评定量表进行调查。结果：维持性血液透析患者症状管理自我效能得分为（6.88±2.36）分，处于中低水平。多元逐步回归分析显示：血液透析知识水平（β=0.767，P<0.001）、社会支持水平（β=0.086，P=0.003）、文化程度（β=0.068，P=0.005）、透析频率（β=0.039，P=0.019）是其主要影响因素。结论：维持性血液透析患者症状管理自我效能呈中低水平，护理人员应加强健康宣教，提高其血液透析知识水平。同时应加强患者社会支持系统的建立，重视对患者影响因素的干预，从而提高患者的症状管理自我效能。
목적：조사심수시모삼급갑등종합의원유지성혈액투석환자증상관리자아효능상황，분석기영향인소。방법：채용편리추양법，대127례혈액투석중심투석환자진행문권조사。채용일반자료조사표、증상관리자아효능량표（SESMs）、혈액투석지식수평문권화사회지지수평평정량표진행조사。결과：유지성혈액투석환자증상관리자아효능득분위（6.88±2.36）분，처우중저수평。다원축보회귀분석현시：혈액투석지식수평（β=0.767，P<0.001）、사회지지수평（β=0.086，P=0.003）、문화정도（β=0.068，P=0.005）、투석빈솔（β=0.039，P=0.019）시기주요영향인소。결론：유지성혈액투석환자증상관리자아효능정중저수평，호리인원응가강건강선교，제고기혈액투석지식수평。동시응가강환자사회지지계통적건립，중시대환자영향인소적간예，종이제고환자적증상관리자아효능。
Objective: To investigate the level and influencing factors of self-efficacy for symptom management in maintenance hemodialysis patients. Methods: A convenience sample of 127 patients were investigated with Hemodialysis Knowledge Questionnaire, Self-efifcacy for Symptom Management Scale (SESMs), and Social Support Scale (SSS). Results: The mean score of SESMs was 6.88±2.36, which was at low to moderate level. Multiple stepwise regression analysis showed that the main inlfuencing factors of self-efifcacy for symptom management were hemodialysis knowledge level (β=0.767,P<0.001), social support level (β=0.086,P=0.003), education level (β=0.068,P=0.005), and dialysis frequency (β=0.039,P=0.019). Conclusion: The maintenance hemodialysis patients' self-efifcacy for symptom management was at low to moderate level. Improving patients' hemodialysis knowledge, enhancing social support system and dealing with the other influencing factors may improve the patients' self-efifcacy for symptom management.