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中国初级卫生保健:2019,33(2):31-33
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社区老年肠造口人群自我效能影响因素的研究*
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中文摘要: 目的 研究宁波市5个社区老年肠造口人群自我效能现状,并分析个人资料和社会支持对其的影响。方法 采用问卷调查法,对宁波市5个社区的200名老年肠造口人群进行调查。结果 社区老年肠造口人群自我效能总分为(73.85±19.76)分,处于中等水平。造口照护自我效能(35.62±10.68)分和社交自我效能水平(19.97 ±7.63)分得分都较低,性生活信心(2.01±1.15)分和性生活满意的信心水平(1.96±1.06)分得分最低。影响自我效能的因素有年龄、医保比例和社会支持(均P<0.05)。结论 社区老年肠造口人群自我效能处于中等水平并且影响因素众多。医护人员应针对个人情况,积极评估和筛选影响自我效能的高危因素,制定个体化的干预措施,增强社会支持力度,更好地増强应对及管理造口的自信心,进而提高其自我效能水平。
Abstract:OBJECTIVE To examine depression status of community older enterostomy population from five communities of Ningbo,and to analysis the influence factors of personal information and social support on self -efficacy. METHODS 200 community older enterostomy population were selected to participate in the investigation. Questionnaires including general information,,self -efficacy and social support questionnaires. RESULTS The total self-efficacy of the community older enterostomy population was (73.85 ± 19.76) points. It is in the middle level. Self - efficacy of stoma careand social self-efficacyscores were lower, sexual life confidence and sexual satisfactionwere the lowest in the self-efficacy .Data from multivariable logistic regression models showed that:age, health insurance ratio, and social support(allP<0.05)influence self -efficacy.CONCLUSION The self-efficacy is at a moderate level and the influencing factors are numerous. Health care workers should actively assess and screen the high-risk factors that affect self-efficacy, enhancing social support, and enhancing patients’response and management, and thus improving their self-efficacy level.
文章编号:3201902011     中图分类号:R57    文献标志码:
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