青南地区藏族肺结核患者自我效能与服药依从性的相关性研究

Investigation and Analysis of Self-efficacy of Tibetan Pulmonary Tuberculosis Patients and its Correlation with Medication Compliance in Southern Qinghai Area

目的:探讨青南地区藏族肺结核患者自我效能与服药依从性的相关性。方法:收集2019年5月—2021年3月我院收治的青南地区藏族肺结核患者200例作为观察对象,所有患者入院后分别采用一般情况调查表、Morisky服药依从性量表及一般自我效能感量表(GSES)对患者一般资料、服药依从性及自我效能进行调查,并根据调查结果进行分组;采用Pearson相关性分析对自我效能与服药依从性进行相关性研究。结果:青南地区藏族肺结核患者自我效能水平与性别、年龄、婚姻、理解汉语、服药疗程、家庭收入及文化程度具有统计学意义(P<0.05);200例患者128例服药依从性差,72例患者服药依从性好。患者服药依从性与年龄、理解汉语、服药疗程、家庭收入及文化程度均具有统计学意义(P<0.05);Pearson相关性分析结果表明:青南地区藏族肺结核患者自我效能中个体解决问题、达成目标及应对事情的自信心与Morisky服药依从性量表评分呈正相关(P<0.05)。结论:青南地区藏族肺结核患者自我效能水平处于中等,且与药物依从性存在相关性,加强自我效能管理,能提高藏族牧民结核病的治疗效果,减少耐药结核发生,提高患者服药依从性。

Objective:This paper is aimed to explore the correlation analysis between self-efficacy and medication compliance of Tibetan pulmonary tuberculosis patients in southern Qinghai.Methods:200 cases of Tibetan pulmonary tuberculosis patients in southern Qinghai area were selected as subjects. After admission,all patients were admitted to the hospital by using the General Survey Form,Morishy Medication Compliance Scale,and General Self-Efficacy Scale(GSES)for general information,medication compliance,and self-efficacy of the patients.Efficacy was investigated and grouped according to the survey results;While the Pearson correlation analysis was used to study the correlation between self-efficacy and medication compliance.Results:The selfefficacy level of Tibetan tuberculosis patients in southern Qinghai was statistically significant with gender,age,marriage,understanding of Chinese,medication and treatment, family income and education level(P < 0.05).128 patients of 200 patients had poor medication compliance and 72 patients showed good medication compliance.Patients’ medication compliance was statistically significant with age,understanding of Chinese,medication course,family income,and education level(P < 0.05).The Pearson correlation analysis showed that individuals solving problems and achieving goals in the self-efficacy of Tibetan tuberculosis patients in southern Qinghai and self-confidence in dealing with things were positively correlated with the score of Morishky Medication Compliance Scale(P < 0.05).Conclusions:The self-efficacy level of Tibetan pulmonary tuberculosis patients in southern Qinghai is moderate,and there exists a correlation with drug compliance. Strengthening self-efficacy management can improve the treatment effect of tuberculosis among Tibetan herders, reduce the occurrence of drug-resistant tuberculosis,and improve patient compliance with medication.