社区老年慢性病患者自我效能感与日常生活能力及疾病影响程度的相关性研究

目的 探讨社区老年慢性病患者自我效能感与日常生活能力及疾病影响程度的相关性.方法 对在枣庄市立医院就诊、距医院1km以内的4个社区的127例老年慢性病患者进行一般自我效能感量表(CSES)、日常生活能力量表(ADL)、疾病影响程度量表(SIP)测评.以GSES评分分组,＜20分为自我效能感低组,≥21分为自我效能感高组,并进行统计分析.结果 127例老年慢性病患者GSES平均分为(21.64±10.21)分,10～20分66例,占48.18%;21～30分42例,占30.66%;31～40分19例,占13.87%.低自我效能感社区老年慢性病患者,其ADL评分及PSMS、IADL维度评分均显著高于高自我效能感者,差异有显著性(P＜0.01);其SIP总分及躯体功能、社会心理、睡眠休息、家务管理、娱乐消遣、饮食维度评分均显著高于高自我效能感者,差异有显著性(P＜0.05,＜0.01).相关分析显示,自我效能感与ADL评分及PSMS、IAD维度评分呈显著负相关(P＜0.01);与SIP总分及躯体功能、社会心理、睡眠休息、娱乐消遣维度评分呈显著负相关(P＜0.05,＜0.01),而与家务管理、饮食维度评分则无相关性.结论社区老年慢性病患者自我效能感低者,其日常生活能力较自我效能感高者差,疾病影响程度较自我效能感高者重.

Study on the relevance of self-efficacy,ability of daily living and disease impact in community elderly patients with chronic diseases

Objective To investigate the rdevanee of self-efficacy,daily living ability and disease affecting degree in the community elderly patients with chronic diseases.Methods In Zaozhuang City hospital,with in 1km from the hospital four communities of 127 cases of elderly patients with chronic diseases were surveyed by a general self-efficacy scale(GSES),activities of daily living scale(ADL),impact of the disease scale(SIP).According GSES Score to divide group,＜20 divided into group of low self-efficacy,≥21 divided into group of high self-efficacy,and analyzed statistically.Results 127 cases of elderly patients with chronic diseases divided into GSES average(21.64±10.21)points,10～20 points were 66 cases,representing 48.18% percent;21～30 points were 42 cases,representing 30.66 percent;31～40 points were 19 cases,representing 13.87 percent.Low self-ettleaey of community elderly patients with chronic diseases,the ADL and PSMS,IAD dimension score was significantly higher than that of high self-efficacy,there wre significant differences(P＜0.01);Their SIP scores and physical function,social psychology,sleep rest,household management,entertainment,restaurants dimension score was significantly higher than that of high self-efficacy,there were significant differences(P＜0.05,＜0.01).Correlation analysis showed that self-efficacy and the ADL and PSMS,IAD dimension score was negatively correlated(P＜0.01);And SIP scores and physical function,social psychology,sleep rest,entertainment dimension score was negatively correlated(P＜0.05,＜0.01),but was not relevant with the house keeping and eating dimension.Conclusion Compared to the high self-efficacy ones,community elderly patients with chronic diseases who are low self efficiency.their abilities of daily life are lower and disease impact degrees are serious.