Correlation analysis between self-management and self-efficacy in senile patients with chronic heart failure
10.3760/cma.j.issn.1674-2907.2018.10.005
- VernacularTitle:老年慢性心力衰竭患者自我管理水平与自我效能的相关性分析
- Author:
Liping JIN
1
;
Xiaoshan RONG
;
Hui JIANG
;
Meili LIU
;
Hairong LIU
;
Huali ZHANG
;
Jingxia LI
;
Yan WU
;
Youqing PENG
Author Information
1. 200029 上海,同济大学医学院;200127 上海,上海交通大学医学院附属仁 济医院老年科
- Keywords:
Heart failure;
Aged;
Self-management;
Self-efficacy;
Correlation
- From:
Chinese Journal of Modern Nursing
2018;24(10):1143-1148
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation between the self-management and self-efficacy of senile patients with chronic heart failure (CHF). Methods In this study, the conveninent sampling method was adopted. From June to December 2016, totally 416 senile CHF patients hospitalized in the Department of Cardiology of 5 general class Ⅲ grade A hospitals in Xi'an were investigated with the general demographic data questionnaire, self-management scale for CHF patients and chronic disease self-efficacy scale. Results The score of self-management in the senile CHF patients in Xi'an totaled (50.76±9.98), with a scoring rate of 63.5%; the scores of medication management, food and beverage management, psychological and social management and symptom management were (13.38±3.38), (7.89±2.14), (12.81±2.91) and (16.69±4.26), with the scoring rates of 66.9%, 65.8%, 64.1% and 59.6%, respectively, showing a medium level; and there was statistically significant difference in the total self-management score between patients with different marital status, per capita income and heart function grading (t=-2.443, 10.906, 16.229;P<0.05). The score of self-efficacy totaled (34.30±11.90), with a scoring rate of 57.17%, showing a medium level. The correlation analysis showed that there was a positive correlation between self-efficacy and self-management (r=0.161, P< 0.05). Conclusions The self-management and self-efficacy of the senile CHF patients in Xi'an remain at a medium level, which could be possibly improved, and the two are closely correlated. The results suggest that we should pay more attention to the patient's management confidence in the disease itself, attach importance to their psychological and social support and enhance their self-efficacy, thus improving their self-management. This is of great significance in controlling CHF and improving the patient's quality of life.
