烧伤康复期患者自我效能与社会支持及生活质量的相关性研究

Correlative Analysis of the General Self-efficacy and Quality of Life and Correlative Social Support in Recovering Burn Patients

目的了解烧伤康复期患者自我效能、社会支持及生活质量的现状并分析其影响因素,探讨三者相互间的关系。方法2014年5月至2015年5月,便利抽样法选取某医院210例烧伤康复期患者,采用一般自我效能量表(general self-efficacy scale,GSES)、社会支持量表(social support rating scale,SSRS)、简明烧伤患者健康量表(abbreriated burn specific health scale,BSHS-A)对其进行自我效能水平、社会支持以及生活质量的调查,并分析其影响因素。结果烧伤康复期患者一般自我效能总均分为(23.04±6.17)分,社会支持总分为(37.12±5.17)分,生活质量总分为(182.43±48.63)分;一般自我效能得分与社会支持、生活质量均呈正相关,r值为0.256~0.487,性别、文化程度、主观支持、支持利用度及躯体功能情况等是影响自我效能水平的主要因素(均P<0.05)。结论烧伤康复期患者一般自我效能水平较低,医护人员应有针对性地引导患者提升自我效能水平,尤其应注意对患者早期躯体功能的训练,同时充分调动患者的社会资源支持力度,从而提高患者的生活质量。

Objective To explore current status of the general self-efficacy,quality of life as well as correl- ative social support and analyze the related influencing factors in recovering burn patients. Methods In May 2014 to May 2015,210 recovering burn patients selected by convenience sampling were investigated with questionnaires which include general self-efficacy scale （GSES）, social support rating scale（SSRS）, abbreviated specific burn heahh scale（BSHS-A） ,and the influencing factors were analyzed.Results Total mean scores of general self-efficacy level in recovering burn patients was （23.04±6.17）,social support rat- ing level was （37.12±5.17）, total socre of quality of life was （182.43 ±48.63）.The resuhs showed that general self-efficacy in recovering burn patients was significantly related with social support as well as qual- ity of life （r= 0.256-0.487） and the main influencing factors of general self-efficacy level were gender, educational level,subjective support,support utilization degree and physical function （all P〈0.05）.Conclusions The general self-efficacy of recovering burn patients are less optimistic,we should take targeted methods to improve the pa- tients＇ self-efficacy level,physical function, social support level,thus to improve patients＇ quality of life.