肠造口患者自我效能与出院准备度的相关性

Correlation between self-efficacy and discharge readiness in patients with enterostomy

目的探讨肠造口患者自我效能与出院准备度的相关性。方法本研究为横断面研究,以自我效能量表和出院准备度量表为研究工具,便利选取2018年12月至2019年12月于北京协和医院基本外科行肠造口术的患者进行问卷调查。采用均数、中位数、频数等统计描述变量调查肠造口患者自我效能和出院准备度现状,并采用Pearson相关分析(或Spearman相关分析)探讨自我效能与出院准备度间的相关性。结果121例肠造口患者自我效能总分为(75.81±21.16)分,出院准备度总分为(138.11±34.60)分;肠造口患者自我效能总分与出院准备度总分呈正相关(r=0.379,P<0.01);自身状况维度与对性生活信心效能(r=0.125)和性生活满意度信心效能(r=0.062)无关(均P>0.05);疾病知识维度与自我效能总分(r=0.311)、造口照顾效能(r=0.358)、自我社交效能(r=0.227)、饮食选择效能(r=0.221)和造口自理信心(r=0.249)呈正相关(均P<0.05);出院后应对能力维度与自我效能总分呈正相关(r=0.428,P<0.01);预期性社会支持维度与自我效能总分(r=0.218)、自我社交效能(r=0.226)、保持活力信心(r=0.202)和造口自理信心(r=0.198)呈正相关(均P<0.05)。结论肠造口患者的自我效能水平可正向预测出院准备度水平。

Objective To explore the correlation between self-efficacy and discharge readiness in patients with enterostomy.Methods It was a cross-sectional study.Using the self-efficacy Scale and the Readiness for Discharge Scale as research tools,the patients who underwent enterostomy in the Department of General Surgery of Peking Union Medical College Hospital from December 2018 to December 2019 were conveniently selected for questionnaire survey.Statistical descriptive variables such as mean values,median values and frequency were used to investigate the current situation of self-efficacy and discharge readiness of patients with enterostomy.Pearson correlation analysis(or Spearman correlation analysis)was used to explore the correlation between self-efficacy and discharge readiness in these patients.Results The total self-efficacy score of the 121 patients with enterostomy was(75.81±21.16)points,and the total discharge readiness score was(138.11±34.60)points.The total score of self-efficacy in the patients with enterostomy was positively correlated with the total score of readiness for hospital discharge(r=0.379,P<0.01).No correlation was found between the self-condition dimension and the confidence and efficacy of sexual life(r=0.125,P>0.05)and the confidence and efficacy of sexual life satisfaction(r=0.062,P>0.05).The disease knowledge dimension was positively correlated with the following variables,self-efficacy score(r=0.311,P<0.01),stoma care efficacy(r=0.358,P<0.01),self-social efficacy(r=0.227,P<0.05),diet choice efficacy(r=0.221,P<0.05)and stoma self-care confidence efficacy(r=0.249,P<0.01).The post-discharge coping ability dimension was positively correlated with the total score of self-efficacy(r=0.428,P<0.01).Anticipatory social support dimension was positively correlated with self-efficacy(r=0.218,P<0.05),self-social efficacy(r=0.226,P<0.01),vitality confidence(r=0.202,P<0.05)and stoma self-care confidence(r=0.198,P<0.05).Conclusion The self-efficacy level of patients with enterostomy can positively predict the level of readiness for discharge.