摘要目的 探讨社区慢性阻塞性肺疾病患者的自我效能、自我管理行为状况及两者之间的关系.方法 采用方便抽样法,在上海某社区5个居委会招募350例社区慢性阻塞性肺疾病患者进行自我效能量表、自我管理行为量表调查.自我效能与自我管理行为间的关系采用Spearman's相关性分析.结果 符合入选条件的患者为320例,FEV1/FVC平均值为(57.86±7.06)％.社区慢性阻塞性肺疾病患者的自我效能水平平均得分(74.2±9.5)分,34例(10.6％)表现为低水平自我效能,286例(89.4％)为中度水平.自我管理行为中体能锻炼时间评分(16.2±33.9) min/周、耐力锻炼时间为(109.0 ±49.O) min/周、认知性症状管理实践(0.9±1.0)分、与医生的沟通(0.7±0.8)分.Spearman's相关性分析显示,自我效能总分与自我管理行为各维度呈正相关(r=0.522、0.407、0.330、0.044,P＜0.01).结论 社区慢性阻塞性肺疾病患者的自我效能和自我管理水平有待提高,自我效能与自我管理行为关系密切,在社区干预时应针对提高患者自我效能水平采取相应措施,以帮助促进其自我管理行为.

abstractsObjective To explore the relationship between self-efficacy and self-management behaviors of patients with chronic obstructive pulmonary disease (COPD).Methods A total of 350 COPD patients form 5 residents' committees in shanghai were recruited by using a convenient sampling method and were scored using Chinese Self-efficacy Scale (CSES)and the self-management behaviors scale.Spearman's correlation analysis was performed to detect the relation of self-efficacy with self-management behaviors.Results Three hundred and twenty adults were included in this investigation,and their average FEV1/FVC was (57.86 ± 7.06)％,average score of self-efficacy was 74.2 ± 9.5.In self-management behaviors,time spent on physical exercise was (16.2 ± 33.9) minutes per week,and endurance exercises accounted for (109.0±49.0) minutes per week.The score of cognitive symptom management practice was 0.9 ± 1.0 and communication with physicians was 0.7 ± 0.8.Total score of self-efficacy was positively correlated with self-management behavior in each dimension (r values were 0.522,0.407,0.330 and 0.044,respectively ; all P ＜ 0.01).Conclusions Self-efficacy and self-management behaviors of COPD patients need to be improved,and self-efficacy may be related to self-management behaviors.