目的 调查慢性阻塞性肺疾病患者自我效能及生存质量现状,并分析两者间的关系,为今后对慢性阻塞性肺疾病患者开展以自我效能为理沦框架的健康干预提供依据.方法 采用慢性阻塞性肺疾病自我效能量表及圣乔治呼吸问卷对68例慢性阻塞性肺疾病患者进行自我效能及生存质量的调查,并分析两者间的相关性.结果 慢性阻塞性肺疾病患者自我效能总分为(80.50±11.15)分,处于中等水平；慢性阻塞性肺疾病患者生存质量总分为(51.26±14.45)分；自我效能总分及其各维度得分与生存质量总分、3个部分得分之间呈负相关(P＜0.01或P＜0.05).结论 慢性阻塞性肺疾病患者自我效能处于中等水平,为改善患者的生理功能状况及生存质量,临床及社区医务工作者应通过各种途径提高患者疾病管理的自我效能水平,进而促进自我管理行为的建立,最终改善患者的健康状况.%Objective To analyze the correlation between the quality of life and the self - efficacy of patients with chronic obstructive pulmonary disease (COPD) ,then to provide the theory frame for the intervention based on the Self - efficacy Theory. Methods A total of 68 cases with COP1) were investigated with the St George's Respiratory Questionnaire ( SGRQ) and the COPD Self - efficacy Scale ( CSES). Results The total score of self - efficacy was (80.50 ± 11. 15) and the self - efficacy of COPD patients was at a moderate level. The overall SGRQ scores was(51.26 ± 14.45). Pearson correlation analysis showed that the overall score of self - efficacy and it's dimensions score were negatively related with the overall SGRQ score and its three dimensions score (P <0.01 or P < 0.05). Conclusion The level of sen" - efficacy of COPD patients was not at a high level. To improve the patient's physical functional status and quality of life, the clinical and community health workers should improve the self - efficacy level of patients on disease management by various means, and enhance the establishment of self - management behaviors, and ultimately improve the patient health status.
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