维持性血液透析患者症状管理自我效能影响因素的研究

维持性血液透析患者症状管理自我效能影响因素的研究

朱素娟莫蓓蓉杨华露钟晓琴

南昌大学研究生院护理学院

出版日期:2015-09-25 发布日期:2015-09-25

The influencing factors of self-efficacy for symptom management in maintenance hemodialysis patients

Online:2015-09-25 Published:2015-09-25

摘要/Abstract

摘要： 目的：调查深圳市某三级甲等综合医院维持性血液透析患者症状管理自我效能状况，分析其影响因素。方法：采用便利抽样法，对127 例血液透析中心透析患者进行问卷调查。采用一般资料调查表、症状管理自我效能量表（SESMs）、血液透析知识水平问卷和社会支持水平评定量表进行调查。结果：维持性血液透析患者症状管理自我效能得分为（6.88±2.36）分，处于中低水平。多元逐步回归分析显示：血液透析知识水平（β=0.767，P <0.001）、社会支持水平（β=0.086，P =0.003）、文化程度（β=0.068，P =0.005）、透析频率（β=0.039，P =0.019）是其主要影响因素。结论：维持性血液透析患者症状管理自我效能呈中低水平，护理人员应加强健康宣教，提高其血液透析知识水平。同时应加强患者社会支持系统的建立，重视对患者影响因素的干预，从而提高患者的症状管理自我效能。

Abstract: Objective: To investigate the level and influencing factors of self-efficacy for symptom management in maintenance hemodialysis patients. Methods: A convenience sample of 127 patients were investigated with Hemodialysis Knowledge Questionnaire, Self-efficacy for Symptom Management Scale (SESMs), and Social Support Scale (SSS). Results: The mean score of SESMs was 6.88±2.36, which was at low to moderate level. Multiple stepwise regression analysis showed that the main influencing factors of self-efficacy for symptom management were hemodialysis knowledge level (β=0.767, P<0.001), social support level (β=0.086, P=0.003), education level (β=0.068, P=0.005), and dialysis frequency (β=0.039, P=0.019). Conclusion:The maintenance hemodialysis patients' self-efficacy for symptom management was at low to moderate level. Improving patients' hemodialysis knowledge, enhancing social support system and dealing with the other influencing factors may improve the patients' self-efficacy for symptom management.

朱素娟莫蓓蓉杨华露钟晓琴. 维持性血液透析患者症状管理自我效能影响因素的研究[J]. , 2015, 15(9): 1063-1067.