血液透析患者自我效能与自我管理行为的相关性分析

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.

Study on the relationship between self-efficacy and self-management behaviors in patients with hemodialysis

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.