社区慢性病患者赋能与自我效能感的相关性

发布时间：2018-02-26 16:33

本文关键词： 社区慢性病赋能自我效能　出处：《广东医学》2017年02期 　论文类型：期刊论文

【摘要】：目的了解社区慢性病患者赋能及自我效能感现状并分析两者的相关性,探讨影响患者赋能得分的因素。方法采用慢性病患者赋能量表(The Long-term Condition Empowerment Scale)和自我效能感量表对社区104例慢性病患者进行调查分析。结果社区慢性病患者自我效能感总分为(22.04±6.17)分,按评分标准属中等偏上水平。社区慢性病患者赋能总分的分布为(122.83±27.20)分,其中"知识获取与理解"维度和"自我认知"维度得分最高。不同文化程度、职业、最长病程、婚姻状况下的慢性病患者在赋能总分及各维度得分间的差异均有统计学意义(P0.05);社区慢性病患者自我效能总分与赋能总分及各个维度呈正相关(相关系数0.540~0.659,P0.01)。结论社区慢性病患者管理自己的信心较强,部分患者对慢性病医疗保险政策缺乏了解。患者对自我管理及自我决策的信心越大,自我效能感越强,赋能水平越高;也提示赋能可以从自我效能层面提高社区慢性病患者的自我认知、自我管理和自我决策的能力。
[Abstract]:Objective to understand the current sense and analysis the correlation of patients with chronic diseases in community empowerment and self-efficacy, and to explore the influencing factors of patients with Fu can score. Using the method of Fu in patients with chronic disease scale (The Long-term Condition Empowerment Scale) and the self efficacy scale investigation and analysis of 104 cases of community patients with chronic diseases. The patients with chronic disease community self-efficacy score was (22.04 + 6.17), medium level according to the standard for evaluation. The distribution of patients with chronic diseases in community empowerment score was (122.83 + 27.20) points, including "knowledge acquisition and understanding" dimension and "self cognition". The highest score in different culture degree, occupation, most long duration, marital status of the patients with chronic disease in empowerment difference scores and the scores between the statistically significant (P0.05); community patients with chronic disease self-efficacy score and total score and each dimension of empowerment positively Correlation (correlation coefficient 0.540~0.659, P0.01). Conclusion the management of patients with chronic diseases in community their confidence is strong, some patients lack the understanding of the medical insurance policy of chronic disease. Patients on self management and self decision-making confidence is greater, the stronger sense of self-efficacy, the higher the level of empowerment; also suggests empowerment from self-efficacy to improve the community patients with chronic disease self cognition, self management ability and self decision.

【作者单位】：南方医科大学南方医院护理部;
【基金】：广东省科技计划项目(编号:2013B060500047)
【分类号】：R473.2

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