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
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。
Social support status of tuberculosis patients and its influence on self-efficacy
This work was supported by Scientific Research Projects of Sichuan Education Department, China (18ZB0492).
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.
tuberculosis; self-efficacy; social support; correlation