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首页> 外文期刊>Nursing of intrgrated traditional Chinese and Western medicine(Zhong-Xiyi Jiehe Huli ) >血液透析患者自我效能感的影响因素及护理对策
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血液透析患者自我效能感的影响因素及护理对策

机译：血液透析患者自我效能感的影响因素及护理对策

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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 (P0.05). 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.
机译：摘要：摘要：目的探讨维持性血液透析（MHD）患者自我效能的影响因素及护理对策。方法评价50例MHD患者的自我效能感。分析了患者一般信息，抑郁自评量表（SDS）得分，社会支持，MHD知识掌握程度与医患关系之间的相关性。结果50例MHD患者的平均自我效能感（GSES）得分为（24.23±4.34）分，其中GSES得分≤19分的患者为21位，得分为20〜29分的患者Logistic回归分析显示缺乏社会支持（OR = 4.30），普通的护士与病人的关系（OR = 3.93），缺乏MHD知识（OR）的得分为20，得分≥30分的患者人数为9。 = 3.70）和SDS得分大于或等于53分（30天）是MHD患者自我效能的影响因素（P <0.05）。结论MHD患者的自我效能感得分较低，主要影响因素为社会支持，护士与医患关系，MHD知识和抑郁。良好的医患关系，有效的社会支持和健康教育网络可以显着提高MHD患者的自我效能。

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