Self-efficacy, self-care behaviours and quality of life of kidney transplant recipients
Self-efficacy, self-care behaviours and quality of life of kidney transplant recipients
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DOI：
10.1111/j.1365-2648.2009.05243.x
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发表时间：
2010-04-01
影响因子：
3.8
通讯作者：
Chiang, Yang-Jen
中科院分区：
文献类型：
--
作者：
Weng, Li-Chueh;Dai, Yu-Tzu;Chiang, Yang-Jen
自我效能、自我护理行为与肾移植受者生活质量目的：探讨自我效能和自我管理的不同维度对肾移植受者生活质量的影响。自我效能感高的患者有更好的自我管理和体验更好的生活质量。自我效能感对肾移植受者长期服药行为的影响。采用自我效能量表、自我管理量表和SF-36量表对2005-2006年150例肾移植受者进行自我效能、自我管理和生活质量的调查。结果：自我效能感高的参与者在自我管理的问题解决（β = 0中心点51）、医患合作（β = 0中心点44）和自我护理行为（β = 0中心点55）维度上得分显著较高。自我效能感直接影响自我护理行为，间接影响生活质量的心理健康成分（总效应= 0中心点14）。解决问题和伙伴关系在统计学上对生活质量没有显著影响。无论是自我效能感，也没有自我管理有任何影响的身体健康组成部分的生活quality.Conclusion。移植护理团队应纳入战略，提高自我效能感，社会认知理论提出的，到他们的护理计划肾移植受者。应继续强调和促进维持和改善患者自我护理行为的干预措施。需要提供支助，以提高病人解决问题的技能，并加强病人与保健专业人员之间的伙伴关系。
P>Title.Self-efficacy, self-care behaviours and quality of life of kidney transplant recipients.Aim.This paper is a report of an exploration of the effects of self-efficacy and different dimensions of self-management on quality of life among kidney transplant recipients.Background.Self-efficacy is an important factor influencing self-management. Patients with higher self-efficacy have better self-management and experience better quality of life. Self-efficacy influences the long-term medication-taking behaviour of kidney transplant recipients.Method.A longitudinal, correlational design was used. Data were collected during 2005-2006 with 150 adult kidney transplant recipients on self-efficacy, self-management and quality of life using a self-efficacy scale, self-management scale and the Medical Outcomes Scale SF-36 (Chinese), respectively. Relationships among variables were analysed by path analysis.Results.Participants with higher self-efficacy scored significantly higher on the problem-solving (beta = 0 center dot 51), patient-provider partnership (beta = 0 center dot 44) and self-care behaviour (beta = 0 center dot 55) dimensions of self-management. Self-efficacy directly influenced self-care behaviour and indirectly affected the mental health component of quality of life (total effect = 0 center dot 14). Problem-solving and partnership did not statistically significantly affect quality of life. Neither self-efficacy nor self-management had any effect on the physical health component of quality of life.Conclusion.Transplant care teams should incorporate strategies that enhance self-efficacy, as proposed by social cognitive theory, into their care programmes for kidney transplant recipients. Interventions to maintain and improve patients' self-care behaviour should continue to be emphasized and facilitated. Support to enhance patients' problem-solving skills and the partnership of patients with health professionals is needed.