摘要
目的:探讨主观应激、人格特征对溃疡性结肠炎(UC)患者自我效能的影响。方法:采用方便抽样法选取2018年6月-2020年6月在东部战区空军医院空勤科就诊的UC患者86例,应用一般资料调查问卷、Mayo评分、肠镜蒙特利尔疾病分型、主观应激量表(PPS)、艾森克人格问卷(EPQ)、自我效能问卷对UC患者进行调查,采用Pearson单因素分析UC患者Mayo评分、主观应激、人格特征与自我效能的关系,多元线性回归分析影响UC患者自我效的相关因素。结果:UC患者自我效能评分为(22.98±3.74)分,处于中等偏下水平。UC患者自我效能与Mayo评分、PPS评分、神经质性人格均呈负相关(P<0.05),而与尽责性、外倾性、宜人性及开放性人格均呈正相关(P<0.05)。经多元线性逐步回归分析可知,学历、Mayo评分、主观应激及人格特征(神经质性、外倾性、尽责性)均是影响UC患者自我效能主要因素(P<0.05)。结论:UC患者自我效能不仅与患者病情有关,还与患者学历、主观应激及人格特征有关。临床护士可通过鼓励患者积极面对疾病,减轻主观应激,增加外向性及自我责任感,减轻神经质,从而提高患者自我效能。
Objective:To explore the effects of subjective stress and personality characteristics on the self-efficacy of patients with ulcerative colitis (UC).Method:From June 2018 to June 2020,86 patients with UC were selected from the Air Service Department of the Eastern Theater Air Force Hospital by convenient sampling method,and the general information questionnaire,Mayo score,colonoscopy Montreal disease classification,and subjective stress scale (PPS),Eysenck personality questionnaire (EPQ) and self-efficacy questionnaire were used to investigate UC patients,Pearson univariate analysis was used to analyze the relationship between Mayo score,subjective stress,personality characteristics and self-efficacy in patients with UC,multiple linear regression analysis was used to analyze the related factors affecting self-efficacy in patients with UC.Result:The self-efficacy score of UC patients was (22.98±3.74) points,which was at the lower middle level.The self-efficacy was negatively correlated with Mayo score,PPS score and neuroticism personality in UC patients (P<0.05),but it was positively correlated with conscientiousness,extraversion,agreeableness and openness (P<0.05).The educational background,Mayo score,subjective stress and personality characteristics (neuroticism,extraversion,conscientiousness) were the main factors affecting the self-efficacy of UC patients by multiple linear stepwise regression analysis (P<0.05).Conclusion:The self-efficacy of UC patients is not only related to the patient’s condition,but also related to the patient’s educational background,subjective stress and personality characteristics.Clinical nurses can encourage patients to actively face the disease,reduce subjective stress,increase extroversion and self-responsibility,and reduce neuroticism,thereby improving patients’ self-efficacy.
作者
范文
孔祥静
李蕾蕾
周春娟
FAN Wen;KONG Xiangjing;LI Leilei;ZHOU Chunjuan(Eastern Theater Air Force Hospital,Nanjing 210002,China;不详)
出处
《中国医学创新》
CAS
2022年第15期92-96,共5页
Medical Innovation of China
关键词
主观应激
人格特征
溃疡性结肠炎
自我效能
相关性
Subjective stress
Personality characteristics
Ulcerative colitis
Self-efficacy
Correlation
