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Influencing factors of self-efficacy in patients with severe acute pancreatitis#br# |
HU Yingying WU Min |
Emergency Ward, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province, Nanjing 210029, China |
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Abstract Objective To analyze the influencing factors of self-efficacy in patients with severe acute pancreatitis (SAP). Methods A total of 100 SAP patients treated in the First Affiliated Hospital of Nanjing Medical University from April 2019 to April 2021 were selected, after the patients regained their self-consciousness for one week, self-efficacy, levels of post traumatic growth (posttraumatic growth inventory [PTGI]), self perceived burden (self perceived burden scale [SPBS]) and coping style (simplified coping style questionnaire [SCSQ]) of patients were evaluated. The family members of patients was asked and the relevant data of patients was recorded, the self-efficacy scores of patients with different data characteristics were compared, the influencing factors of self-efficacy of SAP patients were analyzed. Results In the 100 SAP patients included, the self-efficacy score was (2.24±0.22) points. The self-efficacy scores of active and active coping patients were higher than those of unemployed and passive coping patients, and the differences were statistically significant (P < 0.05). The PTGI score of 100 SAP patients was (66.42±4.25) points, and the SPBS score was (36.52±3.85) points. Multiple linear regression analysis showed that unemployed (X1), SCSQ score (X2), decreased PTGI score (X3), and increased SPBS score (X4) were the influencing factors of decreased self-efficacy in SAP patients (P < 0.05). The linear equation was obtained: Y=3.218+0.050X1-0.128X2-0.018X3+0.010X4. Conclusion Unemployment, lower SCSQ score, lower PTGI score, and higher SPBS score are the influencing factors of the lower self-efficacy of SAP patients.
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[1] Sepúlveda EVF,Guerrero-Lozano R. Acute pancreatitis and recurrent acute pancreatitis:an exploration of clinical and etiologic factors and outcomes-Science Direct [J]. J Pediatr(Rio J),2019,95(6):713-719.
[2] Elfenbein DM. Self-Efficacy as a Measure of Confidence-Reply [J]. JAMA Surg,2017,152(5):507.
[3] Klassen RM,Klassen J. Self-efficacy beliefs of medical students:acritical review [J]. Perspect Med Educ,2018,7(2):76-82.
[4] 刘艳琰.APACHEⅡ评分对急诊内科危重患者的预后评估[J].实用临床医药杂志,2017,21(7):105-106.
[5] 中华医学会消化病学分会胰腺疾病学组,中华胰腺病杂志编辑委员会,中华消化杂志编辑委员会.中国急性胰腺炎诊治指南(2013年,上海)[J].中华消化杂志,2013, 33(4):217-222.
[6] 王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001,7(1):37-40.
[7] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中华内分泌代谢杂志,2014,30(10):893-942.
[8] 中国成人血脂异常防治指南修订联合委员会.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,31(10):937-950.
[9] 汪际,陈瑶,王艳波,等.创伤后成长评定量表的修订及信效度分析[J].护理学杂志,2011,26(14):26-28.
[10] Cousineau N,Mcdowell I,Hotz S,et al. Measuring Chronic Patients’ Feelings of Being a Burden to their Caregivers:Development and Preliminary Validation of a Scale [J]. Med Care,2003,41(1):110-118.
[11] 王端卫,张敬悬.简易应对方式问卷的因子分析[J].山东大学学报(医学版),2014,52(3):96-100.
[12] Ball CG,Hameed SM,Dixon E,et al. Severe acute pancreatitis for the acute care surgeon [J]. J Trauma Acute Care Surg,2016,80(6):1015-1022.
[13] Waller A,Long B,Koyfman A,et al. Acute Pancreatitis:Updates for Emergency Clinicians [J]. J Emerg Med,2018,55(6):769-779.
[14] 马晓庆,余爱萍,钟静静,等.高脂血症重症胰腺炎患者反刍性沉思水平与自我效能、创伤后成长水平的相关性[J].中华现代护理杂志,2018,24(13):1558-1562.
[15] Jeong I,Yoon JH,Roh J,et al. Association between the return-to-work hierarchy and self-rated health,self-esteem,and self-efficacy [J]. Int Arch Occup Environ Health,2019,92(5):709-716.
[16] 王谊,陈亚梅.炎症性肠病患者自我效能现状及影响因素分析[J].护理学报,2019,26(2):55-60.
[17] Hromatko I,Tadinac M,Jokic-Begic N,et al. Evolutionary medicine perspective on coping style and health outcomes:an exploratory study [J]. Homo,2019,70(4):245-254.
[18] Ng A,Lovibond PF. Self-efficacy moderates the relationship between avoidance intentions and anxiety [J]. Emotion,2019,20(6):1098-1103.
[19] Dettling-Ihnenfeldt DS,Graaff AD,Bee Len A,et al. Coping style and quality of life in Dutch intensive care unit survivors [J]. Rehabil Psychol,2016,61(2):165.
[20] 刘小兰,徐琴娟,李涓涓.MHD患者社会支持和反刍性沉思对创伤后成长影响的路径分析[J].现代预防医学,2018,45(8):1528-1531.
[21] 梁莉莉,许梦雅,王丽君,等.中青年脑卒中患者康复自我效能与日常生活活动能力及创伤后成长的相关性研究[J].重庆医学,2018,47(30):3928-3932.
[22] 高冉,史铁英.乳腺癌病人创伤后成长与一般自我效能感、领悟社会支持的相关性研究[J].护理研究,2017,31(3):281-284.
[23] 张蒙,李颂兵,陈茜.老年常见慢性病患者自我感受负担及其影响因素研究[J].中国护理管理,2017,17(1):63-68.
[24] Hajek A,K?觟nig H. The role of optimism,self-esteem,and self-efficacy in moderating the relation between health comparisons and subjective well-being:Results of a nationally representative longitudinal study among older adults [J]. Br J Health Psychol,2019,24(3):547-570.
[25] 杨晓悦,许杨,张小玉,等.基于行为改变理论的运动干预方案设计方法与系统实现[J].北京生物医学工程,2020, 39(2):158-164.
[26] 韩雪,刘云,包倪荣,等.全膝关节置换术后患者康复自我效能现状及影响因素[J].中国医药导报,2020,17(15):48-51. |
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