下肢动脉疾病患者自我管理行为与自我效能的相关性分析

The correlation analysis of self- management behavior with self- efficacy of patients with lower extremity arterial disease

目的：探讨下肢动脉疾病患者自我管理行为与自我效能的相关性，为临床医护人员促进下肢动脉疾病患者有效的自我管理及干预提供依据。方法采用一般资料调查表、慢性病自我管理行为量表中文版、慢性病自我效能量表中文版于2014年8月至2015年1月由研究者本人对广州医科大学附属第二医院、广州市中医院2所三级甲等医院血管外科的110例下肢动脉疾病住院患者进行问卷调查。结果下肢动脉疾病患者的自我管理行为总分为0～69分，平均得分为（18.93±6.79）分，总体水平不高；自我效能总分范围为6～60分，平均得分为（32.25±9.65）分，总体呈中等水平，下肢动脉疾病患者的自我管理行为与自我效能及其各维度呈正相关，与医生的沟通维度与疾病共性管理自我效能呈正相关。结论临床医护人员应加强对下肢动脉疾病患者自我管理行为的教育和指导，提高患者的自我管理行为水平，并提升患者的自我效能水平，增加对疾病治疗和防治的信心，以达到促进健康的目的。

Objective To investigate the relationships between patients′self- management behaviors and self- efficacy with lower extremity arterial disease, and supply evidence for effective management and intervention of lower extremity arterial disease for clinical medical workers. Methods In August 2014 to January 2015,a total of 110 cases of hospitalized patients with lower extremity arterial disease of two hospitals′vascular surgery from Guangzhou completed questionnaires, including the General Information Questionnaire, Chronic Disease Self- management Behavior - Chinese version, Chronic Disease Self- efficacy -Chinese version. Results The total score of self- management behavior of patients with lower extremity arterial disease ranged from 0 to 69, with an average score of 18.93 ± 6.79, the overall level was not high. Self- efficacy score ranged from 6 to 60, with an average score of 32.25 ± 9.65, the overall level was moderate. Self -management behavior was positively correlated with self- efficacy and its dimensions, and negatively correlated with the dimensions of communication with doctors and Common disease management. Conclusions The clinical staff should strengthen education and guidance of self- management behaviors in patients with lower extremity arterial disease, promote the level of self- management behaviors and self- efficacy, improve the confidence of disease treatment and prevention, in order to achieve the purpose of health promotion.