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慢性心血管疾病患者的护理评估及其与自我效能的关系:一项横断面研究。

Patient Assessment of Care with Chronic Cardiovascular Disorders and Its Relationship with Self-Efficacy: A Cross-Sectional Study.

作者信息

Alqarni Aidah Sanad, Pasay-An Eddieson, Alshammari Awad Eid, Gonzales Ferdinand, Estadilla Lorraine, Ahmed Kawther Eltayeb, Benjamin Lizy Sonia, Ngo Andrew, Elmashad Hanan Awad Moawad, Gharib Dawlat Ahmed Mahmoud, Alshammari Salman Amish

机构信息

Medical Surgical Nursing Department, College of Nursing, King Khalid University, Abha 62521, Saudi Arabia.

College of Nursing, University of Hail, Hail City 2440, Saudi Arabia.

出版信息

Healthcare (Basel). 2023 Aug 2;11(15):2189. doi: 10.3390/healthcare11152189.

DOI:10.3390/healthcare11152189
PMID:37570429
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10418875/
Abstract

INTRODUCTION

Patients' assessment of care navigating cardiovascular disorders is imperative in improving the quality of care provided. The purpose of this study was to explore the perspectives of people living with cardiovascular disorders on the care they received and its relationship with general self-efficacy.

METHODS

This investigation employed a cross-sectional correlational approach. The study sample was comprised of patients with cardiovascular disorders from both the King Khalid Hospital and the King Salman Specialist Hospital, in Hail City, Saudi Arabia. Convenience sampling was used, resulting in 104 participants. A survey using a self-administered questionnaire was employed to collect the data, which ran from 10 March to 20 May 2023.

RESULTS

The participants perceived that they occasionally (2.75 ± 1.053) received care, and they perceived themselves to have better self-efficacy (25.28/40). Of note, the age (0.062), years of being diagnosed with having the disease (-0.174), sex (0.180), educational attainment (0.125), and occupation (0.206) were found to have no significant relationship with the patient assessment of care with chronic cardiovascular disease (PACIC). However, civil status (0.867) was found to have a strong positive correlation to the PACIC. No significant relationship was found between age and GSE (0.070) and PACIC (0.62), civil status with GSE (0.013), years being diagnosed with having the disease with GSE (0.095), and PACIC (0.174) educational attainment with GSE (0.088) and PACIC (0.125) or occupation (0.115) with GSE. However, sex (0.795) was found to have a strong correlation with general self-efficacy (GSE). Of note, patient activation (0.390) and goal setting (0.360) had a moderate positive correlation while problem solving (0.228) and follow-up (0.278) had a weak positive correlation to GSE. Meanwhile, the delivery system (0.507) had a strong positive correlation to GSE. This study illuminates the value of self-efficacy and patient involvement as self-management techniques for cardiovascular illnesses. Future cardiovascular illness self-management initiatives should concentrate on enhancing patient self-efficacy by adopting the PACIC.

摘要

引言

患者对心血管疾病护理的评估对于提高所提供护理的质量至关重要。本研究的目的是探讨心血管疾病患者对其所接受护理的看法及其与一般自我效能感的关系。

方法

本调查采用横断面相关研究方法。研究样本包括来自沙特阿拉伯哈伊勒市哈立德国王医院和萨勒曼国王专科医院的心血管疾病患者。采用便利抽样法,共纳入104名参与者。使用自填式问卷进行调查以收集数据,调查时间为2023年3月10日至5月20日。

结果

参与者认为他们偶尔(2.75±1.053)接受护理,并且他们认为自己具有较好的自我效能感(25.28/40)。值得注意的是,年龄(0.062)、被诊断患有该疾病的年限(-0.174)、性别(0.180)、教育程度(0.125)和职业(0.206)与慢性心血管疾病护理患者评估(PACIC)之间没有显著关系。然而,婚姻状况(0.867)与PACIC呈强正相关。年龄与一般自我效能感(GSE)(0.070)和PACIC(0.62)、婚姻状况与GSE(0.013)、被诊断患有该疾病的年限与GSE(0.095)以及PACIC(0.174)、教育程度与GSE(0.088)和PACIC(0.125)或职业(0.115)与GSE之间均未发现显著关系。然而,性别(0.795)与一般自我效能感(GSE)呈强相关。值得注意的是,患者激活(0.390)和目标设定(0.360)与GSE呈中度正相关,而问题解决(0.228)和随访(0.278)与GSE呈弱正相关。同时,服务提供系统(0.507)与GSE呈强正相关。本研究阐明了自我效能感和患者参与作为心血管疾病自我管理技术的价值。未来的心血管疾病自我管理倡议应集中于通过采用PACIC来提高患者的自我效能感。