目的：探讨急性加重期慢性阻塞性肺疾病患者的社会支持和自我效能对自我感受负担的影响。方法采用社会支持评定量表、慢性阻塞性肺疾病自我效能量表和中文版自我感受负担量表，于2014年12月—2015年5月在大庆市人民医院和油田总医院2所三级甲等医院呼吸内科，对183例住院急性加重期慢阻肺患者进行问卷调查，并分析社会支持和自我效能对自我感受负担的影响。结果急性加重期慢阻肺患者社会支持总分为（36.61±6.20）分，自我效能总分为（81.87±15.44）分，自我感受负担总分为（35.13±6.69）分。社会支持和自我效能对自我感受负担的主效应和交互效应显著（F=42.10，P=0.000；F=9.15，P=0.000；F=2.87，P=0.024），且经简单效应分析不同水平社会支持和自我效能的患者的自我感受负担间差异有统计学意义（P<0.01）。结论急性加重期慢阻肺患者的社会支持和自我效能共同影响自我感受负担，建议针对急性加重期慢阻肺患者自我感受负担的干预措施可考虑以两者交互关系为理论依据，进而有效降低患者的自我感受负担水平，促进其身心健康。%Objective To explore the influence of social support and self-efficacy on self-perceived burden in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods Totally 183 AECOPD patients were investigated by the Chinese Self-efficacy scale(CSES), social support rating scale(SSRS) and self-perceived burden scale (SPBS) from December 2014 to May 2015 in Heilongjiang Province. Results The average total score of SSRS was 36.61±6.20, which was at a moderate level. The average total score of CSES and SPBS was 81.87±15.44 and 35.13±6.69 respectively. The main effect of social support and self-efficacy on self-perceived burden was significantly different (F=42.10, P=0.000; F=9.15, P=0.000), and there was significant interaction in social supports and self-efficacy (F=2.87, P=0.024). The test of simple effect showed that the difference of self-perceived burden of patients with different social support and self-efficacy had statistical significance ( P<0.01). Conclusion Both social support and self-efficacy have effect on SPSS in AECOPD patients. Clinical nurses should take effective measures to relieve the self-perceived burden of AECOPD patients.
展开▼
