文章摘要

结核患者社会支持状况及其对自我效能的影响

作者: 1曹 金秋, 1薛 秒, 1向 希, 1文 艳, 2,3张 天海
1 四川大学华西医院呼吸与危重症医学科结核病房,成都 610041
2 中国科学院生态环境研究中心,北京 100085
3 四川师范大学工学院,成都 610068
通讯: 张 天海 Email: zhangtianhai333@163.com
DOI: 10.3978/j.issn.2095-6959.2020.02.025
基金: 四川省教育厅科研项目(18ZB0492)。

摘要

目的:了解结核患者自我效能感与社会支持的现状并分析其相关性。方法:采用一般资料问卷、慢性病自我效能量表(Self-Efficacy for Managing Chronic Disease 6-Item Scale,SECD6)和肖水源研发的社会支持量表(Social Sating Rating Scale,SSRS)对154名结核患者进行问卷调查,并对二者进行Pearson相关性分析。结果:本组结核患者的自我效能总分为36.41±13.97,其中症状管理得分为24.40±9.84,疾病共性管理得分为12.01±5.48,社会支持总分为36.86±8.74,其中客观支持得分为7.73±2.57,主观支持得分为21.97±6.63,利用度得分为7.16±1.98。Pearson相关分析结果显示:结核病患者社会支持与自我效能感总分呈正相关(r=0.565,P<0.001)。结论:结核患者的自我效能和社会支持均处于中等水平,社会支持与自我效能呈密切相关。建议护理人员采取知识宣教、患者互助、医患交流、亲属陪护等多方面的干预措施,以增加患者的自我效能。
关键词: 结核患者;自我效能;社会支持;相关性

Social support status of tuberculosis patients and its influence on self-efficacy

Authors: 1CAO Jinqiu, 1XUE Miao, 1XIANG Xi, 1WEN Yan, 2,3ZHANG Tianhai
1 Tuberculosis Ward of the Respiratory and Critical Medical Department, West China Hospital of Sichuan University, Chengdu 610041, China
2 Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China
3 Engineering College, Sichuan Normal University, Chengdu 610068, China

CorrespondingAuthor:ZHANG Tianhai Email: zhangtianhai333@163.com

Foundation: This work was supported by Scientific Research Projects of Sichuan Education Department, China (18ZB0492).

Abstract

Objective: To understand the status of self-efficacy and social support of tuberculosis patients and analyze its correlation. Methods: A total of 154 tuberculosis patients were investigated by general information questionnaire, Lorig self-efficacy scale (SECD6) and Xiao Shui-yuan Social Support Scale (SSRS), meanwhile Pearson correlation analysis was conducted. Results: The total score of self-efficacy of tuberculosis patients was 36.41±13.97. The score of symptom management was 24.40±9.84, disease common management was 12.01±5.48; total score of social support was 36.86±8.74, the score of objective support was 7.73±2.57, subjective support was 21.97±6.63, utilization was 7.16±1.98. Pearson correlation analysis showed that there was a close positive correlation between social support and total score of self-efficacy in tuberculosis patients (r=0.565, P<0.001). Conclusion: Self-efficacy and social support of tuberculosis patients were at a middle level, and social support was closely related to self-efficacy. It is suggested that nurses should take various interventions such as knowledge education, patient mutual assistance, doctor-patient communication and relatives’ accompanying.
Keywords: tuberculosis; self-efficacy; social support; correlation