腰椎间盘突出症患者术前自我效能感相关因素分析

Preoperative self-efficacy of patients with lumbar disc herniation and its influential factors

目的 探讨腰椎间盘突出症患者术前自我效能感水平及其影响因素.方法 对76例因腰椎间盘突出症于2008年6月至2009年3月行手术治疗患者术前采用一般自我效能感量表（GSES）、Zung自评焦虑表（SAS）、Zung自评抑郁表（SDS）及自制患者一般情况调查表进行问卷调查.采用SPSS 11.5软件对数据进行统计分析.结果 腰椎间盘突出症患者术前自我效能感评分为25.84±6.76.病程、文化程度、兴趣爱好影响患者一般自我效能感水平（F=15.371,P〈0.01;F=18.078,P〈0.01;t=2.368,P〈0.05）.患者术前自我效能感水平与病程呈负相关（r=-0.541,P〈0.01）,与文化程度、兴趣爱好呈正相关（r=0.589,P〈0.01;r=0.226,P〈0.05）.腰椎间盘突出症患者术前焦虑评分为50.29±9.72,术前抑郁评分为51.34±8.56,术前焦虑水平和抑郁水平明显高于国内水平（P〈0.01）,患者术前自我效能感水平与焦虑和抑郁呈负相关（r=-0.494,P〈0.01;r=-0.443,P〈0.01）.结论 腰椎间盘突出症手术患者术前自我效能感水平较低,术前焦虑、抑郁水平高;腰椎间盘突出症手术患者术前自我效能感水平与病程呈负相关,与文化程度、兴趣爱好呈正相关;腰椎间盘突出症手术患者术前自我效能感水平与术前焦虑和抑郁程度呈负相关.

Objective To study the preoperative self-efficacy of patients with lumbar disc herniation（LDH） and its influential factors. Methods Seventy-six patients with LDH underwent operation from June 2008 to March 2009 were enrolled in the current study. The patients were investigated with GSES,SAS,SDS and self-made general characteristics before operation. The data were analyzed with SPSS 11.5. Results The score of preoperative self-efficacy was 25. 84 ±6. 76. The course of disease, education level, patients＇ hobbits could affect self-efficacy （F = 15. 371,P〈0.01;F = 18.078,P〈0.01;t =2. 368,P〈0. 05）. Preoperative self-efficacy correlated negatively with the course of disease （r = - 0.541, P 〈 0. 01）. And preoperative self-efficacy correlated with education level and hobbits（r = 0. 589, P 〈 0. 01; r = 0. 226, P 〈 0.05） . The score of preoperative dysphoria and depression was significantly higher than norm （P 〈 0. 01） . Preoperative self-efficacy correlated negatively with dysphoria and depression （r = -0. 494, P 〈 0.01; r = - 0. 443, P 〈 0. 01）. Conclusions The score of preoperative self-efficacy with LDH is low; the score of preoperative dysphoria and depression is high. Preoperative self-efficacy correlated negatively with the course of disease. And preoperative self-efficacy correlated with education level and hobbits; Preoperative self-efficacy correlated negatively with preoperative dysphoria and depression.