摘要
目的研究老年血管性痴呆(VD)患者生活质量与自我效能、社会支持的相关性。方法分别采用生活质量综合评估问卷(GQOL-74)、慢性病自我效能量表(CDSE)及领悟社会支持量表(PSSS)对荆州市第二人民医院神经疾病诊疗中心于2017年5月至2019年5月期间住院治疗的134例老年VD患者的生活质量、自我效能及社会支持进行评估,其中122例患者符合要求。分析生活质量各维度与自我效能、社会支持的相关性,探讨影响患者生活质量各维度的因素。结果老年VD患者生活质量、自我效能及社会支持等评分均处于较低水平;物质生活状态、躯体功能、心理功能和社会功能等生活质量维度与自我效能、社会支持均呈正相关性关系(P<0.05);自我效能是躯体功能、心理功能和社会功能等生活质量维度的影响因素(P<0.05),社会支持则是物质生活状态、心理功能、社会功能的影响因素(P<0.05)。结论老年VD患者自我效能和社会支持是影响生活质量的重要因素,医护人员应重视提高患者的自我效能,积极引导其寻求社会支持,从而改善其生活质量。
Objective To study the correlation between quality of life(QoL)and self-efficacy as well as social support in elderly patients with vascular dementia(VD).Methods The Generic Quality of Life Inventory-74(GQOL-74),the Chronic Disease Self-Efficacy Scale(CDSE)and the Perceived Social Support Scale(PSSS)were used to evaluate the 134 elderly VD patients who were admitted to the Neurological Disease Diagnosis and Treatment Center of the Second Hos pital of J ingzhou from May 2017 to May 2019 in QoL,self-efficacy and s ocial support.122 patients met the requirements.The correlation between the various dimensions of QoL and selfefficacy as well as social support was analyzed,and the factors affecting the various dimensions of the patient's QoL were explored.Results The scores of QoL,self-efficacy,and social support in elderly VD patients were all at a low level;the various dimensions of QoL such as material life state,physical function,mental function,and social function were positively correlated with self-efficacy and social support(P<0.05).Self-efficacy was an influencing factor for physical function,mental function,social function and other dimensions of QoL(P<0.05),and social support was an influencing factor for material life state,mental function,and social function(P<0.05).Conclusion The self-efficacy and social support of elderly VD patients are important factors affecting the quality of life.Medical staff should pay attention to improving the self-efficacy of patients and actively guide them to seek social support in order to improve their quality o f life.
作者
张怒文
张杏容
倪莉
任倩
ZHANG Nuwen;ZHANG Xingrong;NI Li;REN Qian(Neurological Disease Diagnosis and Treatment Center,the Second Hospital of Jingzhou,Hubei,Jingzhou 434000,China;Imaging Center,Jingzhou Central Hospital,Hubei,Jingzhou 434000,China;Department of Neurorehabilitation,the Second Hospital of Jingzhou,Hubei,Jingzhou 434000,China)
出处
《中国医药科学》
2021年第17期223-226,共4页
China Medicine And Pharmacy
关键词
血管性痴呆
生活质量
自我效能
社会支持
Vascular dementia
Quality of life
Self-efficacy
Social supp ort
