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腹膜透析患者自我效能与健康心理控制源的相关研究.doc

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腹膜透析患者自我效能与健康心理控制源的相关研究.doc
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腹膜透析患者自我效能与健康心理控制 源的相关研究 范淑芳 天津中医药大学第一附属医院 摘 要: 目的:调查腹膜透析患者的自我效能及健康心理控制源现状, 分析两者之间的关 系。方法:采用一般资料调查表、慢性病自我效能量表及多维度健康状况心理控 制源量表对302例腹膜透析患者进行问卷调查。结果:患者自我效能得分为 (5.48±1.08) 分, 单因素分析结果显示, 腹膜透析患者医疗费用支付方式及透 析时间是其自我效能的影响因素 (P<0.05) 。 健康有势力他人控制得分最高, 得 分为 (28.98±3.29) 分, 健康机遇控制得分最低, 得分为 (13.25±1.43) 分, 且健康内在控制及健康有势力他人控制得分均高于常模, 而健康机遇控制得分 低于常模, 差异有统计学意义 (P<0.05) 。Pearson相关分析结果显示, 腹膜透 析患者自我效能及两维度均与健康内在控制呈正相关, 疾病共性管理自我效能 及总自我效能均与健康有势力他人控制呈正相关 (P<0.05) 。 多元逐步回归分析 结果显示, 患者的健康内在控制、是否发生过腹膜透析并发症、腹膜透析时间及 医疗费用支付方式对患者自我效能有预测作用, 可解释变异的33.70%。结论:患 者健康心理控制源以健康有势力他人控制为主, 腹透患者的自我效能处于中等 水平。 因此, 护理人员可根据患者的健康心理控制源类型及相关疾病特点, 采取 针对性的策略提高其自我效能水平。 关键词: 腹膜透析; 自我效能; 健康心理控制源; 作者简介:范淑芳 (1972-) , 女, 主管护师, 护士长, 本科 The correlation study on self-efficacy and health locus of control among patients with peritoneal dialysis FAN Shu-fang The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine; Abstract: Objective:To investigate the status of self-efficacy and health locus of control in patients with peritoneal dialysis (PD) , and analyze the relationship between them.Methods:302 patients with peritoneal dialysis were investigated by the general information questionnaire, Self-efficacy for chronic disease patients and Multidimensional Health Locus of Control Scale.Results:The self-efficacy score of peritoneal dialysis patients was (5.48+1.08) .Univariate analysis showed that medical expenses payment and dialysis time of patients with peritoneal dialysis were the influence factors of self-efficacy (P<0.05) .The score of healthy powerful others control (28.98+3.29) was highest, while the score of healthy chance control (13.25+1.43) was the lowest.The scores of health internal control and healthy powerful others control were higher than the norms, while the scores of healthy chance control were lower than the norms, the difference was statistically significant (P<0.05) .Pearson correlation analysis showed the scores of self-efficacy and the two d
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