门诊乙型病毒性肝炎肝硬化患者自我护理能力及影响因素研究

摘要

Objective To explore the influencing factors of self-care agency in outpatients with hepatitis B virus-induced cirrhosis. Methods Exercise of Self-care Agency Scale (ESCA), Social Support Rating Scale (SSRS) and Self-rating Depression Scale (SDS) were used to investigate 112 outpatients with hepatitis B virus-induced cirrhosis. Results The scores of self-care agency of outpatients were 109.00±14.96. Multi-factor analysis of the total score showed that depression, subjective support, support availability were variables (P<0.05). There was positive relationship among self-care ability, subjective support and support availability while negative relationship between self-care ability and depression. Conclusion The self-care ability of patients with hepatitis B virus-induced cirrhosis was in moderate level. The factors affecting self-care agency of outpatients with hepatitis B virus-induced cirrhosis include depression, subjective support and support availability. The more depressed the patients are, the lower self-care agency they are with while the higher subjective support and support availability, the higher self-care agency.%　　目的探讨门诊乙型病毒性肝炎肝硬化患者自我护理能力现状及其影响因素。方法采用自我护理能力实施量表、社会支持评定量表、抑郁自评量表及一般资料问卷对在广州某三级甲等综合医院门诊复查的112例乙型病毒性肝炎肝硬化患者进行调查。结果门诊乙型病毒性肝炎肝硬化患者自我护理能力总分（109.00±14.96）分；自我护理能力总分的多因素分析结果显示：进入回归方程的变量为抑郁、主观支持、支持利用度（P＜0.05），其中自我护理能力与主观支持和支持利用度呈正相关，与抑郁呈负相关。结论门诊乙型病毒性肝炎肝硬化患者自我护理能力处于中等水平，其影响因素为抑郁、主观支持、支持利用度。患者的抑郁水平越高，其自我护理能力水平就越低；主观支持、支持利用度水平越高，其自我护理能力水平就越高。