Brown Annemarie, Kendall Sally, Flanagan Madeleine, Cottee Michaela
Independent Tissue Viability Consultant Doctoral Fellow, East of England SHA.
Int Wound J. 2014 Jun;11(3):326-34. doi: 10.1111/iwj.12199. Epub 2013 Dec 26.
Venous leg ulceration has a high recurrence rate. Patients with healed or frequently recurring venous ulceration are required to perform self-care behaviours to prevent recurrence or promote healing, but evidence suggests that many find these difficult to perform. Bandura's self-efficacy theory is a widely used and robust behaviour change model and underpins many interventions designed to promote self-care in a variety of chronic conditions. By identifying areas where patients may experience difficulty in performing self-care, interventions can be developed to strengthen their self-efficacy beliefs in performing these activities successfully. There are currently a variety of self-efficacy scales available to measure self-efficacy in a variety of conditions; but not a disease-specific scale for use with venous ulcer patients. The aim of this study, therefore, was to develop and validate a disease-specific, patient-focused self-efficacy scale for patients with healed venous leg ulceration. This scale will need further validation studies; however, it is ready for use in clinical practice and will enable practitioners to identify those patients who may need additional support in performing self-care activities to prevent recurrence.
下肢静脉溃疡的复发率很高。已愈合或经常复发静脉溃疡的患者需要进行自我护理行为以预防复发或促进愈合，但有证据表明，许多人发现这些行为难以实施。班杜拉的自我效能理论是一个广泛应用且有力的行为改变模型，为许多旨在促进各种慢性病自我护理的干预措施提供了支撑。通过识别患者在进行自我护理时可能遇到困难的领域，可以制定干预措施来增强他们成功进行这些活动的自我效能信念。目前有多种自我效能量表可用于测量各种情况下的自我效能；但尚无专门针对静脉溃疡患者的疾病特异性量表。因此，本研究的目的是为已愈合下肢静脉溃疡的患者开发并验证一种针对疾病、以患者为中心的自我效能量表。该量表需要进一步的验证研究；然而，它已准备好在临床实践中使用，并将使从业者能够识别出那些在进行自我护理活动以预防复发时可能需要额外支持的患者。
