血液透析患者自我效能感的影响因素及护理对策

Influencing factors of self efficacy in patients with maintenance hemodialysis and nursing countermeasures

目的探讨维持性血液透析（M}Ⅱ））患者自我效能感的影响因素及护理对策。方法评价50例MHD患者自我效能感状况，分析患者一般资料及抑郁自评量表（sI）s）评分、社会支持、MHD知识掌握程度、护患关系等与自我效能感的关系。结果50例MHD患者自我效能感（GsES）平均得分为（24．23±4．34），GSES得分19分及以下21例，20～29分20例，30分及以上9例。Logistic回归分析显示，缺少社会支持（OR=4．30）、护患关系一一般（0R=3．93）、MHI）知识缺乏（OR=3．70）、SINS评分≥53分（OR=2．92）是影响MHD患者自我效能的因素（P〈0．05）。结论MHD患者自我效能感得分较低，其主要影响因素有社会支持、护患关系、MHD的知识及抑郁。良好的护患关系，系统化的健康教育及有效的社会支持网络能有效提高MHD患者自我效能感。

Objective To explore the influencing factors of self efficacy in patients with maintenance hemodialysis （MHD） and nursing countermeasures. Methods The self-efficacy con- ditions of 50 patients with MHD were evaluated. The correlation between patients＇ general informa- tion, self rating depression scale （SDS） score, racial support, master degree of MHD knowledge and nurses- patients relationship were analyzed. Results In the 50 MIID patients, the mean self- ef- ficiency （GSES） score was （24.23 ± 4.34）, in which the number of patients with the GSES score ≤19 points was 21, the number of patients with score of 20--29 points was 20, and the number of patients with seore ≥30 points was 9. Logistic regression analysis showed that the lack of social sup- port （OR = 4.30）, the ordinary nurses - patients relationship （OR = 3.93 ）, lack of MHD knowl- edge （OR= 3.70） and SDS score greater than or equal to 53 points （30 days） were the influencing factors of self- efficacy in MHD patients （P 〈 0.05）. Conclusion MHD patients have low self - efficacy scores, and the main influencing factors are social support, nurses- patients relationship, MHD knowledge and depression. Good nurses patients relationship, effective social support and health education network can significantly improve the self- efficacy in MHD patients.