病毒性肝炎肝硬化患者社会支持与自我效能的相关性研究

Relevance study on social support and self.efficacy in patients with viral cirrhosis of liver

目的调查病毒性肝炎肝硬化患者的社会支持与自我效能，探讨两者的相关性。方法采取便利抽样的方法，用社会支持评定量表、慢性病自我效能量表对130例病毒性肝炎肝硬化患者进行问卷调查，并对二者进行相关性分析。结果共发放问卷130份，回收有效问卷105份，回收有效率为80．77％。病毒性肝炎肝硬化患者的社会支持总分为（41．87±7．47）分，中等水平者占61．0％，高等水平者占39．0％。其中主观支持得分为（24．43±4．08）分，位于该维度的较高水平；客观支持得分为（10．45±2．39）分，位于该维度的较低水平；社会支持利用度得分为（6．99±2．44）分，位于该维度的中等水平。患者的自我效能总分为（48．53±7．78）分。患者的社会支持总分及各维度与自我效能总分及各维度呈正相关（r=0．601～0．835，P〈0．01）。结论病毒性肝炎肝硬化患者的社会支持呈中等以上水平，主观支持水平较高，客观支持水平较低；患者的自我效能在慢性病中处于较高水平；患者的社会支持与自我效能密切相关，社会支持水平越高，自我效能越强。

Objective To describe the social support and self-efficacy in patients with viral and hepatitis cirrhosis and to investigate the relevance of social support and self-efficacy. Methods By convenient sampling, totals of 105 patients were surveyed with social support scale, and chronic disease self-efficacy scale. Results Totals of 130 questionnaires were handed out and 105 effective questionnaires were recovered, with the rate of 80.77%. The score of social support of patients was （41.87 ±7.47） ,and 61.0% patients with moderate level, 39.0% patients with high level. Among them, subjective support score was （24.43± 4.08 ）with high level, objective support score was（ 10.45±2.39） with low level, social support score was （6.99 ±2.44）with moderate level. The self-efficacy score of patients was （48.53 ± 7.78 ）. The scores of social support and its dimensions were markedly and positively correlated with self-efficacy and its dimensions and the value of correlation coefficients ranged from 0.601 to O. 835 （ P 〈 O. O1 ）. Conclusions The level of social support in patients with viral and hepatitis cirrhosis is moderate or high, with higher subjective social support level and lower objective social support level. In all the chronic diseases, the self-efficacy in the patients is in higher level. The score of social support is markedly and positively correlated with self-efficacy, the higher social support, the stronger self-efficacy.