社会支持和自我效能对急性加重期COPD患者自我感受负担影响的简单效应分析

发布时间：2018-06-06 07:59

本文选题：慢性阻塞性肺疾病 + 急性加重期　；参考：《护理学报》2016年03期

【摘要】：目的探讨急性加重期慢性阻塞性肺疾病患者的社会支持和自我效能对自我感受负担的影响。方法采用社会支持评定量表、慢性阻塞性肺疾病自我效能量表和中文版自我感受负担量表,于2014年12月—2015年5月在大庆市人民医院和油田总医院2所三级甲等医院呼吸内科,对183例住院急性加重期慢阻肺患者进行问卷调查,并分析社会支持和自我效能对自我感受负担的影响。结果急性加重期慢阻肺患者社会支持总分为(36.61±6.20)分,自我效能总分为(81.87±15.44)分,自我感受负担总分为(35.13±6.69)分。社会支持和自我效能对自我感受负担的主效应和交互效应显著(F=42.10,P=0.000;F=9.15,P=0.000;F=2.87,P=0.024),且经简单效应分析不同水平社会支持和自我效能的患者的自我感受负担间差异有统计学意义(P0.01)。结论急性加重期慢阻肺患者的社会支持和自我效能共同影响自我感受负担,建议针对急性加重期慢阻肺患者自我感受负担的干预措施可考虑以两者交互关系为理论依据,进而有效降低患者的自我感受负担水平,促进其身心健康。
[Abstract]:Objective to investigate the effect of social support and self-efficacy on self-perceived burden in patients with acute exacerbation chronic obstructive pulmonary disease (COPD). Methods Social support rating scale, chronic obstructive pulmonary disease self-efficacy scale and Chinese version self-perceived burden scale were used in the Department of Respiratory Medicine of Grade A Hospital of Daqing people's Hospital and General Hospital of Oil Field from December 2014 to May 2015. A questionnaire survey was conducted in 183 patients with acute exacerbation chronic obstructive pulmonary disease (COPD), and the effects of social support and self-efficacy on the burden of self-perception were analyzed. Results the total score of social support, self-efficacy and self-feeling burden were 36.61 卤6.20, 81.87 卤15.44 and 35.13 卤6.69 respectively. The main and interactive effects of social support and self-efficacy on the burden of self-perception were significant (P < 0.01). The main effects and interaction effects of social support and self-efficacy on self-perception burden were significantly different between patients with different levels of social support and self-efficacy, and there was a significant difference in self-perception burden between patients with different levels of social support and self-efficacy. Conclusion the social support and self-efficacy of patients with acute exacerbation of chronic obstructive lung affect the burden of self-perception together. It is suggested that the intervention measures for the burden of self-feeling of patients with acute exacerbation of chronic obstructive pulmonary disease can be considered as the theoretical basis of the interaction between the two. And then effectively reduce the level of self-feeling burden of patients, promote their physical and mental health.
【作者单位】：哈尔滨医科大学大庆校区护理学院;
【基金】：国家自然科学基金项目(71273077) 黑龙江省教育厅科学技术研究项目(12531324)
【分类号】：R473.5

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