Department of Nursing, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi 62247, Taiwan.
Department of Psychology, National Chung Cheng University, Chiayi 621301, Taiwan.
Medicina (Kaunas). 2024 Oct 9;60(10):1653. doi: 10.3390/medicina60101653.
Self-efficacy is an important ingredient in successful disease management, especially in patients with chronic conditions such as rheumatoid arthritis (RA). However, the information on self-efficacy and its influencing factors among RA patients is scarce. This study investigated the level of self-efficacy and its pertinent predictors among RA patients in Taiwan. This cross-sectional study recruited patients with RA from a hospital in Taiwan between January and October 2023. A structured questionnaire was used to collect data on respondents' demographic and job characteristics and included a Chinese version of the Arthritis Self-Efficacy Scale (ASES). Multiple linear stepwise regression analysis was employed to identify predictors of self-efficacy. A total of 284 RA patients were enrolled during the study period. The mean ASES score among enrollees was 1607.1, indicating a moderate level of self-efficacy (score range of 200-2000). The regression model displayed that those with higher disease activity scores, Taiwanese Depression Questionnaire scores, fatigue level, shorter disease duration, swollen upper limb joints, and no regular exercise regimen reported lower ASES scores, accounted for 46% of the total variance. The study findings may be useful for healthcare providers in identifying RA patients with low self-efficacy attitudes, a trait that appears to be linked to several medical indicators, and thus facilitating the provision of future tailored healthcare regimens.
自我效能感是成功疾病管理的重要组成部分，特别是在类风湿关节炎（RA）等慢性病患者中。然而，有关 RA 患者自我效能感及其影响因素的信息却很少。本研究调查了台湾 RA 患者的自我效能感水平及其相关预测因素。这是一项横断面研究，于 2023 年 1 月至 10 月期间在台湾的一家医院招募了 RA 患者。使用结构化问卷收集了受访者的人口统计学和工作特征数据，包括中文版关节炎自我效能感量表（ASES）。采用多元线性逐步回归分析确定自我效能感的预测因素。在研究期间共招募了 284 名 RA 患者。参与者的平均 ASES 得分为 1607.1，表明自我效能感处于中等水平（得分范围为 200-2000）。回归模型显示，那些疾病活动评分较高、台湾抑郁问卷评分较高、疲劳程度较高、疾病持续时间较短、上肢关节肿胀且没有定期锻炼方案的患者，ASES 评分较低，占总方差的 46%。研究结果可能对医疗保健提供者识别自我效能感较低的 RA 患者有用，这种特征似乎与多种医疗指标有关，从而有助于提供未来的个性化医疗方案。
