Kara Kaşikçi Magfiret, Alberto June
Fundamentals of Nursing Department, School of Nursing, Atatürk University, Erzurum, Turkey.
J Clin Nurs. 2007 Aug;16(8):1468-78. doi: 10.1111/j.1365-2702.2006.01782.x.
The purpose of this study was to describe family support, self-efficacy perception and self-care behaviour among patients with chronic obstructive pulmonary disease and to ascertain the relationship between these variables.
It is important to work at improving confidence in the patients' ability to follow a self-care regimen by increasing self-efficacy. Family support also plays an important role in self-care activities.
The study design is descriptive and correlational. Of 230 patients with chronic obstructive pulmonary disease who were recruited for the study, 200 agreed to participate. The patients were recruited by the first author from an outpatient clinic in the Department of Chest Disease of a university hospital and a pulmonary hospital in Erzurum, eastern Turkey. Data were collected by using a demographic data form, the Perceived Social Support from Family Scale, the Chronic Obstructive Pulmonary Disease Self-efficacy Scale and the Alberto Chronic Obstructive Pulmonary Disease Self-care Behaviour Inventory.
Although most participants (91.5%) perceived that they had family support and more than three quarters (73.0%) of the participants engaged in an adequate amount of self-care behaviours, only twenty five participants' (12.5%) perceived self-efficacy as high. There were statistically significant positive relationships between family support and self-care behaviour (r=0.302; p=0.01) and between self-efficacy and self-care behaviour (r=0.186; p=0.01). There was also a statistically significant positive relationship between family support and self-efficacy (r=0.412; p=0.01).
The results of the study demonstrated weak to moderate, but statistically significant, relationships between family support and self-care behaviours, self-efficacy and self-care behaviour and family support and self-efficacy in Turkish patients with chronic obstructive pulmonary disease.
The assessment of the family support, self-efficacy and self-care behaviours of the patients with chronic obstructive pulmonary disease should be an essential part of nursing practice. The study also provides the foundation for the conduct of future studies of self-care training for managing patients with chronic obstructive pulmonary disease.
本研究旨在描述慢性阻塞性肺疾病患者的家庭支持、自我效能感和自我护理行为，并确定这些变量之间的关系。
通过提高自我效能来增强患者遵循自我护理方案的信心非常重要。家庭支持在自我护理活动中也起着重要作用。
本研究设计为描述性和相关性研究。在招募的230例慢性阻塞性肺疾病患者中，200例同意参与研究。第一作者从土耳其东部埃尔祖鲁姆一所大学医院胸科门诊和一家肺病医院招募了这些患者。通过使用人口统计学数据表、家庭感知社会支持量表、慢性阻塞性肺疾病自我效能量表和阿尔贝托慢性阻塞性肺疾病自我护理行为量表收集数据。
尽管大多数参与者（91.5%）认为他们得到了家庭支持，超过四分之三（73.0%）的参与者进行了足够的自我护理行为，但只有25名参与者（12.5%）的自我效能感较高。家庭支持与自我护理行为之间（r=0.302；p=0.01）以及自我效能与自我护理行为之间（r=0.186；p=0.01）存在统计学上显著的正相关关系。家庭支持与自我效能之间也存在统计学上显著的正相关关系（r=0.412；p=0.01）。
研究结果表明，在土耳其慢性阻塞性肺疾病患者中，家庭支持与自我护理行为、自我效能与自我护理行为以及家庭支持与自我效能之间存在弱到中等但具有统计学意义的关系。
对慢性阻塞性肺疾病患者的家庭支持、自我效能和自我护理行为进行评估应是护理实践的重要组成部分。该研究还为未来开展慢性阻塞性肺疾病患者自我护理培训研究奠定了基础。
