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原发性胆汁反流性胃炎患者自我效能感调查、危险因素及干预对策

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目的 调查原发性胆汁反流性胃炎(PBRG)患者自我效能感,并分析其危险因素,制定合理的干预对策。方法 选取河南省人民医院 2020 年 5 月至 2023 年 2 月收治的 108 例PBRG患者,采用一般自我效能感量表(GSES)调查患者自我效能感现状,收集其基本资料,并进行单因素分析与多元线性回归分析。结果 108 例PBRG患者平均GSES评分为(23。86±3。24)分;年龄≥60 岁、初中及以下文化程度、病程≥2 年、支付方式自费、消极应对方式、有不良心理状态、社会支持度低患者的GSES评分更低,差异均有统计学意义(P<0。05);多元线性回归分析结果显示,年龄≥60 岁、初中及以下文化程度、病程≥2 年、支付方式自费、消极应对方式、有不良心理状态、社会支持度低是影响PBRG患者GEES评分的独立危险因素,差异均有统计学意义(P<0。05)。结论 PBRG患者自我效能感处于中等水平,年龄、文化程度、病程、支付方式、应对方式、不良心理状态及社会支持度等因素均可能对其产生影响,应制定针对性的干预对策。
Investigation of Self-Efficacy,Risk Factors,and Intervention Strategies in Patients with Primary Biliary Reflux Gastritis
Objective To investigate the self-efficacy of patients with Primary Bile Reflux Gastritis(PBRG),analyze its risk factors,and formulate reasonable intervention strategies.Methods A total of 108 PBRG patients admitted to Henan Provincial People's Hospital from May 2020 to February 2023 were selected.The General Self-Efficacy Scale(GSES)was used to investigate the current status of patients'self-efficacy.Their basic information was collected,and univariate analysis and multivariate linear regression analysis were conducted.Results The average GSES score of the 108 PBRG patients was(23.86±3.24)points.The GSES scores of patients aged≥60 years,with junior high school education or below,disease duration≥2 years,self-paying,negative coping style,having adverse psychological status,and low social support were lower,and the differences were statistically significant(P<0.05).Multivariate linear regression analysis showed that age≥60 years,junior high school education or below,disease duration≥2 years,self-paying,negative coping style,having adverse psychological status,and low social support were independent risk factors affecting the GSES score of PBRG patients,and the differences were statistically significant(P<0.05).Conclusion The self-efficacy of PBRG patients is at a medium level.Factors such as age,educational level,disease duration,payment method,coping style,adverse psychological status,and social support may all have an impact.Therefore,targeted intervention strategies should be formulated.

primary biliary reflux gastritisself-efficacyrisk factorsintervention strategies

张梦凡

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河南省人民医院 消化内科,河南 郑州 450000

原发性胆汁反流性胃炎 自我效能感 危险因素 干预对策

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(8)