社区COPD患者社会支持与自我效能的相关性分析

目的探讨社区慢性阻塞性肺疾病（COPD）患者社会支持与自我效能的相关性。方法采用方便抽样方法，于2008年10月—2009年3月选取上海市某社区320例COPD患者进行现场问卷、量表调查，采用Spearman相关分析方法分析COPD患者社会支持与自我效能的相关性。结果社区COPD患者社会支持总分（37．64±5．96）分，低于国内常模（40．80±7．64）分，自我效能总分（74．24±9．50）分；中度水平自我效能286例（89．4％），COPD患者社会支持与自我效能呈正相关（r=0．553，P〈0．01），COPD患者社会支持总分与自我效能各维度呈正相关（r=0．190～0．515，P〈0．05）。结论社会支持与自我效能密切相关，采用多种途径提高患者自我效能水平，动员家庭和社会支持手段对提高COPD患者健康水平具有非常重要的作用。

The correlation of self-efficacy and social support among community patients with chronic obstructive pulmonary disease

Objective To explore the correlation between social support and the self-efficacy among community patients with chronic obstructive pulmonary diseases （COPD）. Methods From October 2008 to March 2009,320 community patients with COPD were recruited from a community health service center by using a convenience sampling. The research data were taken by questionnaires and scale. The Spearman＇ s correlation analysis was done to analyze the correlation of social support and the self-efficacy. Results The total score of social support of the patients with COPD was （37.64 ± 5.96 ）, which was lower than the national norm （40.80 ± 7.64）, and the total score of self-efficacy was （74.24 ± 9.50）. The number of patients with medium- level self-efficacy was 286 （ 89.4% ）. The overall social support was positively correlated with self-efficacy （ r = 0. 553 ,P 〈 0.01 ）, and it was also positively correlated with the various dimensions of self-efficacy （r = 0. 190 - 0. 515, P 〈 0.05 ）. Conclusions Social support and the self-efficacy are closely related. It is important to promote patients＇ self-efficacy and mobilize the social and family support by various approaches.