血液透析患者自我效能感的影响因素及护理对策

[摘要] Abstract：ABSTRACT: Objective To explore the influencing factors of self efficacy in patients with maintenance hemodialysis (MHD) and nursing countermeasures. Methods The self-efficacy conditions of 50 patients with MHD were evaluated. The correlation between patients′ general information, self rating depression scale (SDS) score, social support, master degree of MHD knowledge and nurses-patients relationship were analyzed. Results In the 50 MHD patients, the mean self-efficiency (GSES) score was (24.23±4.34), in which the number of patients with the GSES score ≤19 points was 21, the number of patients with score of 20～29 points was 20, and the number of patients with score≥30 points was 9. Logistic regression analysis showed that the lack of social support (OR=4.30), the ordinary nurses-patients relationship (OR=3.93), lack of MHD knowledge (OR=3.70) and SDS score greater than or equal to 53 points (30 days) were the influencing factors of self-efficacy in MHD patients (P<0.05). Conclusion MHD patients have low self-efficacy scores, and the main influencing factors are social support, nurses-patients relationship, MHD knowledge and depression. Good nurses-patients relationship, effective social support and health education network can significantly improve the self-efficacy in MHD patients.

[学科分类] 护理学

[关键词] 维持性血液透析;自我效能;影响因素;护理