發(fā)布時(shí)間：2018-06-26 09:06

  本文選題：社區(qū) + 賦能��； 參考：《南方醫(yī)科大學(xué)》2017年碩士論文

【摘要】：研究目的1.引進(jìn)和翻譯慢性病賦能量表,并進(jìn)行信度、效度評(píng)價(jià)。2.評(píng)估國(guó)內(nèi)社區(qū)中老年慢性病患者的賦能水平,并探索賦能與自我效能與心理一致感的相關(guān)性。研究方法在取得原作者授權(quán)后,采用Brislin翻譯模型完成量表漢化,采用便利抽樣法收集廣州市4個(gè)社區(qū)共273名老年慢性病患者的資料,運(yùn)用SPSS19.0軟件錄入資料、進(jìn)行量表信效度分析與相關(guān)性分析,并評(píng)價(jià)慢性病患者的賦能、自我效能及心理一致感情況。研究結(jié)果中文版慢性病患者賦能量表總Cronbach' s α系數(shù)為0.95,各維度Cronbach's α系數(shù)范圍0.694～0.877;量表分半信度為0.93,重測(cè)信度0.921,平均內(nèi)容效度0.950,各維度得分與總分相關(guān)系數(shù)范圍0.875～0.959,以自我效能感量表作為效標(biāo)的效標(biāo)效度為0.678;主軸因子分解法提取6個(gè)公因子,刪除三個(gè)不歸類任何因子的條目后,累積方差貢獻(xiàn)率54.50%。社區(qū)慢性病患者自我效能感總分分布為22.04±6.17分,按評(píng)分標(biāo)準(zhǔn)屬中等偏上水平。社區(qū)慢性病患者賦能總分的分布為122.83±27.20分,其中“知識(shí)獲取與理解”維度和“自我認(rèn)知”維度得分最高。不同文化程度、職業(yè)、最長(zhǎng)病程、婚姻狀況下的慢性病患者在賦能總分及各維度得分間的差別均有顯著性差異(P0.05):社區(qū)慢性病患者自我效能總分與賦能總分及各個(gè)維度呈正相關(guān),相關(guān)系數(shù)0.514-0.690,差異有統(tǒng)計(jì)學(xué)意義。結(jié)論1.漢化修訂后的中文版慢性病賦能量表共44個(gè)條目,6個(gè)維度:生活態(tài)度,自我認(rèn)知,知識(shí)獲取,自我管理,自主決策,賦能他人。2.中文版慢性病賦能量表在信度上具有良好的量表內(nèi)部一致性與重測(cè)信度;量表的效度分析結(jié)果表明:中文版慢性病賦能量表具有較好的內(nèi)容效度、內(nèi)部相關(guān)性、效標(biāo)關(guān)聯(lián)效度與結(jié)構(gòu)效度。3.中文版慢性病賦能量表從編制過(guò)程和測(cè)評(píng)維度方面更強(qiáng)調(diào)評(píng)價(jià)社區(qū)慢性病患者在疾病管理過(guò)程中的主觀能動(dòng)性,同時(shí)也更適合我國(guó)社區(qū)慢性病人群賦能水平的評(píng)估。4.我國(guó)社區(qū)中老年慢性病患者賦能水平居中,在表達(dá)疾病感受、與其他病友分享疾病管理經(jīng)驗(yàn)方面有待提高,我國(guó)針對(duì)慢性病人群制定的醫(yī)療保險(xiǎn)政策在社區(qū)慢性病人群中知曉率較低,提示醫(yī)護(hù)人員在社區(qū)慢性病患者護(hù)理過(guò)程中應(yīng)針對(duì)性宣教,以提高患者賦能水平。
[Abstract]:Objective 1. Introduce and translate the chronic disease empowerment scale, and evaluate the reliability and validity of the scale. 2. To assess the empowerment level of the elderly and chronic patients in Chinese community, and to explore the correlation between empowerment and self-efficacy and psychological congruence. Methods after obtaining the authorizations of the original author, the Brislin translation model was used to complete the Sinicization of the scale. The data of 273 elderly patients with chronic diseases in 4 communities in Guangzhou were collected by convenient sampling method, and the data were recorded by SPSS 19.0 software. To analyze the reliability and validity of the scale and to evaluate the status of empowerment, self-efficacy and psychological identity in patients with chronic diseases. Results the total Cronbachs 偽 coefficient of the Chinese version of chronic disease empowerment scale was 0.95, the Cronbachs 偽 coefficient range of each dimension was 0.6940.87, the split-half reliability of the scale was 0.93, the test-retest reliability was 0.921, the average content validity was 0.950, and the correlation coefficient between the scores of each dimension and the total score was 0.950. The validity of self-efficacy scale was 0.678. The main axis factor decomposition method was used to extract 6 common factors. After deleting three items that do not classify any factors, the cumulative variance contribution rate is 54.50. The total score of self-efficacy of chronic patients in community was 22.04 鹵6.17. The total score of empowerment of chronic patients in community was 122.83 鹵27.20, in which the dimensions of "knowledge acquisition and understanding" and "self-cognition" had the highest scores. There were significant differences in the total score of empowerment and the score of each dimension between the patients with chronic diseases under different education level, occupation, longest course of disease and marital status (P0.05): the total score of self-efficacy of chronic patients in community was positively correlated with the total score of empowerment and each dimension. The correlation coefficient was 0.514-0.690, the difference was statistically significant. Conclusion 1. The Chinese version of chronic disease empowerment scale has 44 items, 6 dimensions: life attitude, self-cognition, knowledge acquisition, self-management, autonomous decision-making, empowering others. 2. The Chinese version of chronic disease empowerment scale has good internal consistency and test-retest reliability in terms of reliability, and the validity analysis results show that the Chinese version of chronic disease empowerment scale has good content validity and internal correlation. Correlation validity and structural validity. 3. The Chinese version of chronic disease empowerment scale emphasizes the evaluation of the subjective initiative of chronic disease patients in the process of disease management and is more suitable for the evaluation of the empowerment level of chronic disease population in Chinese community. The empowerment level of middle-aged and elderly patients with chronic diseases in our community is in the middle. It needs to be improved to express the feeling of disease and share the experience of disease management with other patients. The low awareness rate of the medical insurance policy for the chronically ill population in our country suggests that the health care workers should be educated in the process of nursing the patients with chronic diseases in community in order to improve the level of empowerment of the patients.
【學(xué)位授予單位】：南方醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R473.2

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本文編號(hào)：2069871