慢性心力衰竭患者自我效能与自护能力的相关性

Relationship of Self-efficacy and Self-care Ability in Chronic Heart Failure Patients

目的探讨慢性心力衰竭患者的自我效能与其自护能力的相关性,以期为进一步提升心力衰竭患者的自我管理能力提供参考。方法 2013年1-8月,便利抽样法选择上海市某三级甲等综合性医院心内科住院及门诊的心力衰竭患者112名为研究对象,采用一般资料调查表、慢性病管理的自我效能量表(self-efficacy for managing chronic disease 6-item scale,SES6)、心力衰竭患者自护能力评估表对其进行自我效能和自护水平进行调查,并分析其相关性。结果慢性心力衰竭患者的自我效能平均得分为(36.95±3.21)分;自我管理的综合自护能力得分为(62.89±13.56)分;其自我效能总分与自我护理行动力及自我保健能力的管理评分成正相关(r=0.356,P<0.05;r=0.257,P<0.05)。结论慢性心力衰竭患者自我效能低,自我护理能力处于中等水平以下,提升患者自我效能有助于提高患者自护行动力和自我保健的管理。在护理干预中应充分树立和培养患者完成相关疾病的预防和保健的信心,从而提高其自我管理的水平,改善其生活质量。

Objective To explore the relationship between self-efficacy and self-care ability, in order to provide referenees for further improving the self-management ability of patients with chronic heart failure （CHF）.Methods By convenience sampling, 112 eases were selected and investigated by using general information questionnaire, self-efficacy for managing chronic disease 6-item scale （SES6） and self-care ability of patients with CHF,and the correlationship was analyzed.Results The average seore of self-efficacy of CHF patients was 36.95＋3.21.The overall score of self-care ability was 62.89±13.56.The self-efficacy score was positively correlated with self-care action and ability （r=0. 356, P 〈 0.05 ; r = 0.257, P 〈0.05）. Conclusion CHF patients showed a relatively low level of self-efficacy and self-care ability.The improvement of self-efficacy can help to improve patients＇ self-care action and self-management ability. It is possible to effectively improve self-care level and the quality of life of CHF patients by build the confidence in disease-related prevention and healthcare.