Kargar Leila, Khademian Zahra, Rambod Masoume
Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Acute Crit Care. 2021 May;36(2):118-125. doi: 10.4266/acc.2020.00752. Epub 2021 Apr 29.
Assessing and improving patient self-efficacy are among the major roles of nurses. Nurses are also responsible for providing direct patient care, and they play a major role in improving patient care quality. Therefore, it is essential to evaluate nurses' care-giving behaviors. This study aimed to determine the association between caring behaviors and self-efficacy in patients with cardiovascular disease.
In this cross-sectional study, 400 patients with cardiovascular disease who were admitted to hospitals in Jahrom, southern Iran, were selected through a stratified sampling. The Caring Behaviors Inventory and the Strategies Used by People to Promote Health questionnaires were used to collect data. Data were analyzed using descriptive statistics, Kolmogorov-Smirnov test and Spearman correlation coefficient in SPSS ver. 22.
Results showed significant relationships between perception of caring behaviors and self-efficacy (r=0.16, P=0.001) as well as subscales of respectful deference to others (r=0.12, P=0.01), assurance of human presence (r=0.12, P=0.02), and positive connectedness (r=0.18, P=0.001). Additionally, among the subscales of caring behaviors, "attentive to others' experience," with a mean of 5.17±1.10, was the highest priority and "positive connectedness," with a mean of 4.81±1.31, was the lowest priority for patients. The mean self-efficacy score was 73.94±29.78, and 169 patients (43.2%) had low self-efficacy.
Given the positive relationship between perception of caring behaviors and self-efficacy in patients with cardiovascular disease, self-efficacy could be improved by paying more attention to patient care priorities and improving patient perception of caring behaviors.
评估并提高患者的自我效能感是护士的主要职责之一。护士还负责为患者提供直接护理，在提高患者护理质量方面发挥着重要作用。因此，评估护士的护理行为至关重要。本研究旨在确定心血管疾病患者的关怀行为与自我效能感之间的关联。
在这项横断面研究中，通过分层抽样选取了伊朗南部贾赫罗姆市医院收治的400例心血管疾病患者。使用关怀行为量表和人们促进健康所采用的策略问卷收集数据。在SPSS 22版中使用描述性统计、柯尔莫哥洛夫-斯米尔诺夫检验和斯皮尔曼相关系数对数据进行分析。
结果显示，关怀行为感知与自我效能感之间存在显著关系（r = 0.16，P = 0.001），以及对他人的尊重顺从分量表（r = 0.12，P = 0.01）、人的陪伴保证分量表（r = 0.12，P = 0.02）和积极联系分量表（r = 0.18，P = 0.001）。此外，在关怀行为分量表中，患者最看重的是“关注他人经历”，均值为5.17±1.10，最不看重的是“积极联系”，均值为4.81±1.31。自我效能感的平均得分为73.94±29.78，169例患者（43.2%）自我效能感较低。
鉴于心血管疾病患者的关怀行为感知与自我效能感之间存在正相关关系，通过更加关注患者护理重点并改善患者对关怀行为的感知，可以提高自我效能感。
