家庭关怀度与自我效能感对慢性肾衰竭病人生活质量的影响

摘要

[目的]探讨家庭关怀度和自我效能感对慢性肾衰竭病人生活质量的影响。[方法]采用家庭关怀度问卷(APGAR)、一般自我效能感量表(GSES)和生活质量综合评定问卷(GQOLI)对66例肾功能衰竭病人进行评估。根据 APGAR 评分将病人分为家庭关怀度差组和家庭关怀度好组,比较两组病人的生活质量。根据 GSES评分将病人分为高自我效能组和低自我效能组,比较两组病人的生活质量。[结果]家庭关怀度好组病人的 GQOLI总分及躯体功能、心理功能、社会功能3个维度评分均高于家庭关怀度差组(t=4.18、12.26、8.78、10.46,P<0.01),而低自我效能组病人的总分及躯体功能、心理功能、社会功能3个维度评分明显低于高自我效能组(t=4.79、11.96、7.78、10.86,P<0.01)。[结论]家庭关怀度与自我效能感对慢性肾衰竭病人的生活质量具有重要影响。%Objective:To probe into the influence of family APGAR and self efficacy on the quality of life of pa-tients with chronic renal failure.Methods:A total of 6 6 patients with chronic renal failure were evaluated by family APGAR (APGAR questionnaire),general self efficacy scale (GSES)and general questionnaire of quali-ty of life (GQOLI).According to the APGAR score,the patients were divided into the poor family APGAR group and the good family APGAR group,then to compare patients'quality of life between both groups.Accord-ing to the GSES score,patients were divided into the high self efficacy group and the low self efficacy group, then to compare patients'quality of life between both groups.Results:The total GQOLI score and dimensions scores including physical function,psychological function,social function in good family APGAR group were higher than those in poor family APGAR group(t=4.18,12.26,8.78,4.18,P<0.01).The total score and di-mensions scores including physical function,psychological function,social function in low self efficacy group were significantly lower than those in high self efficacy group(t= 4.79,11.96,7.78,11.96,P<0.01).Conclu-sion:The family APGAR and self efficacy had the important influence on the quality of life of patients with chronic renal failure.