肾移植患者个人生活掌控感现状及其影响因素研究

doi:10.3761/j.issn.0254-1769.2022.10.009

摘要/Abstract

摘要：

目的了解肾移植患者的个人掌控感水平并分析其影响因素。方法 2021年8月—9月,选取济南市某三级甲等综合医院收治的206例肾移植患者作为调查对象,使用一般资料调查表、个人掌控感量表、一般自我效能量表、领悟社会支持量表、综合医院焦虑抑郁量表进行问卷调查。结果肾移植患者个人掌控感总得分为（25.15±5.02）分。多重线性回归分析结果显示,文化程度、肾移植术后时长、自我效能、领悟社会支持、焦虑、抑郁是肾移植患者个人掌控感的独立影响因素（P<0.05）。结论肾移植患者个人掌控感属中等水平。文化程度越高,术后5年以上,社会支持水平越高,自我效能水平越高,焦虑、抑郁水平越低的肾移植患者,其个人掌控感越强。护士可从影响因素入手,给予患者更多的信息支持,增强其个人控制疾病的经验和信心,帮助其在应对压力时建立积极思维模式,以提高个人掌控感水平,改善肾移植患者的康复效果。

关键词: 肾移植, 个人掌控感, 社会支持, 自我效能, 护理

Abstract:

Objective To understand the level of personal mastery of kidney transplant patients,and to analyze its influencing factors. Methods A total of 206 kidney transplant patients admitted to a tertiary first-class hospital in Jinan were selected as the subjects of investigation. General information questionnaire,personal mastery scale （PMS）,general self-efficacy scale（GSES）,comprehension social support scale（PSSS）,general hospital anxiety and depression scale（HADS） were used for questionnaire survey. Results The total score of personal mastery of kidney transplant patients was（25.15±5.02）. The results of multiple linear regression analysis showed that education level,length of time after kidney transplantation,self-efficacy,social support,anxiety,and depression were independent factors influencing the personal mastery of kidney transplant patients（P<0.05）. Conclusion The personal mastery of kidney transplant patients is at a moderate level. Nurses should start with relevant influencing factors,give patients more information support,enhance personal experience and confidence in disease control,and help them establish a positive thinking mode when coping with stress,so as to improve personal control and improve the recovery effect of kidney transplant patients.

Key words: Kidney Transplantation, Personal Mastery, Social Support, Self-Efficacy, Nursing Care

赵继明, 房晓, 孟俏, 詹静, 张美霞. 肾移植患者个人生活掌控感现状及其影响因素研究[J]. 中华护理杂志, 2022, 57(10): 1213-1218.

ZHAO Jiming, FANG Xiao, MENG Qiao, ZHAN Jing, ZHANG Meixia. Status and influencing factors of personal mastery in kidney transplant patients[J]. Chinese Journal of Nursing, 2022, 57(10): 1213-1218.

图/表 4

表1 肾移植患者个人掌控感量表各条目得分情况（n=206）

Table 1 The scores of each item of personal mastery of kidney transplant patients（n=206）

表2 不同特征的肾移植患者个人掌控感得分比较（n=206）

Table 2 Personal mastery scores of kidney transplant patients with different characteristics（n=206）

表3 自变量赋值方式

Table 3 Assignment of arguments

表4 肾移植患者个人掌控感的多重线性回归分析

Table 4 Multiple linear regression analysis of personal mastery in kidney transplant patients

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