腹膜透析患者授权能力与自我效能和自我管理的相关性研究

发布时间：2018-06-12 01:45

本文选题：腹膜透析 + 患者　；参考：《吉林大学》2017年硕士论文

【摘要】：研究目的:描述腹膜透析患者授权能力、自我效能和自我管理的现状;分析影响腹膜透析患者授权能力、自我效能和自我管理的因素;明确自我效能在腹膜透析患者授权能力和自我管理间的中介作用。研究方法:通过方便抽样法选取在长春市两所三级甲等医院进行规律腹膜透析治疗的患者作为研究对象,于2015年7~12月对符合纳入标准的253名腹膜透析患者进行调查,调查工具采用:一般资料调查表、腹膜透析授权简化量表、慢性病自我效能量表、腹膜透析患者自我管理量表。利用均数、标准差、频数、构成比等描述腹膜透析患者的一般资料、授权能力、自我效能和自我管理现状;运用t检验、单因素方差分析、秩和检验、多元回归分析探讨患者授权能力、自我效能及自我管理的影响因素;运用Pearson分析或Spearman分析探讨患者的授权能力、自我效能和自我管理之间的相关性;采用Bootstrap中介效应检验程序分析自我效能在授权能力和自我管理中的中介效应。结果:1.研究对象授权能力平均得分为(3.91?0.59)分。是否发生过并发症及不同性别、年龄、文化程度、婚姻状况、职业、就业状态、家庭月收入、医疗费用支付方式、病程、透析龄、接受健康教育次数、用药情况的腹膜透析患者授权能力得分差异具有统计学意义(P0.05)。2.研究对象自我效能得分为(6.82?1.12)分,自我管理得分为(63.87?10.87)分。3.研究对象授权能力与其自我效能总分及各维度呈显著正相关(P0.05)。4.研究对象授权能力与其自我管理总分及各维度呈显著正相关(P0.05)。5.研究对象自我效能总分及各维度与其自我管理总分及各维度均呈显著正相关(P0.05)。6.自我效能是授权能力与自我管理间的中介变量,中介效应大小为6.2146。结论:1.腹膜透析患者的授权能力处于中等水平,部分患者仍存在授权能力较低的情况;性别、年龄、文化程度、婚姻状况、职业、就业状态、家庭月收入、医疗费用支付方式、病程、透析龄、接受健康教育次数、服药依从性、并发症是影响患者授权能力的主要因素。2.腹膜透析患者的自我效能和自我管理处于中等水平,并受患者社会人口学因素和临床相关因素影响。3.腹膜透析患者的授权能力、自我效能和自我管理密切相关,授权能力可直接正向预测其自我管理并且可通过自我效能间接预测自我管理,自我效能是腹膜透析患者授权能力与自我管理间的中介变量。
[Abstract]:Objective: to describe the status quo of empowerment, self-efficacy and self-management in peritoneal dialysis patients, and to analyze the factors that affect the ability, self-efficacy and self-management of peritoneal dialysis patients. To clarify the role of self-efficacy between empowerment and self-management in peritoneal dialysis patients. Methods: according to the convenience sampling method, 253 peritoneal dialysis patients who were treated with regular peritoneal dialysis in two Grade 3A hospitals in Changchun were investigated from July to December 2015. The survey tools were as follows: general information questionnaire, simplified peritoneal dialysis authorization scale, chronic self-efficacy scale and self-management scale for peritoneal dialysis patients. Using the mean, standard deviation, frequency and composition ratio to describe the general data, empowerment ability, self-efficacy and self-management status of peritoneal dialysis patients, t test, single factor analysis of variance, rank sum test, etc. Multiple regression analysis was used to explore the influencing factors of patients' empowerment, self-efficacy and self-management, and Pearson analysis or Spearman analysis was used to explore the correlation between patients' empowerment ability, self-efficacy and self-management. The bootstrap mediating effect test program is used to analyze the intermediary effect of self-efficacy in empowerment and self-management. The result is 1: 1. The average score of authorization ability was 3.91 卤0.59). Whether there have been complications or not, sex, age, education, marital status, occupation, employment status, monthly family income, payment of medical expenses, course of disease, age of dialysis, number of times of health education, The score of authorization ability of peritoneal dialysis patients with drug use was significantly different (P 0.05). 2. The self-efficacy score of the subjects was 6.82 卤1.12), and the self-management score was 63.87 / 10.87). There was a significant positive correlation between the empowerment ability and the total score of self-efficacy and the dimensions of self-efficacy (P 0. 05. 4). There was a significant positive correlation between the ability of authorization and the total score of self-management and the dimensions of self-management (P 0. 05. 5). The total scores and dimensions of self-efficacy were positively correlated with the total score of self-management and each dimension (P0.05. 6). Self-efficacy is an intermediary variable between empowerment and self-management with a mediation effect of 6. 2146. Conclusion 1. The authorization ability of peritoneal dialysis patients was at the medium level, and some patients still had low authorization ability; gender, age, education, marital status, occupation, employment status, monthly income of family, payment method of medical expenses, course of disease, Age of dialysis, times of health education, drug compliance and complications were the main factors affecting patients' empowerment ability. The self-efficacy and self-management of peritoneal dialysis patients were at the medium level, and were affected by social demographic factors and clinical related factors. 3. The empowerment ability, self-efficacy and self-management of peritoneal dialysis patients are closely related. Empowerment ability can directly positively predict self-management and indirectly predict self-management through self-efficacy. Self-efficacy is an intermediate variable between empowerment and self-management in peritoneal dialysis patients.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.5

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