The Correlative Study Of Self-efficacy,Coping Style And Self-management Behavior In Patients With Liver Cirrhosis

ObjectiveTo analyze the general characteristics of patients with cirrhosis,to know the present situation of the self-efficacy,coping styles and self-management behavior and discuss their connection,to explore the factors influencing on self-management behavior of patients with liver cirrhosis.MethodsThis research time range is between December 2016 and October 2017,convenient screening a total of 400 Cirrhosis Patients of four tertiary hospitals of Kaifeng.A basic information,the self-efficacy,coping styles and self-management behavior of patients are measuremented by the Self-efficacy for Managing Chronic Disease,Medical Coping Modes Questionnaire(MCMQ)and Liver Cirrhosis Patient Self-management Behavior Scale.The self-made Questionnaire is used to collect the general characteristics.All data were analyzed by SPSS17.0 pairs.Statistics description was used for the study.T test method,F test method and Correlation analysis were applied.Influencing factors of self-management behavior of patients with liver cirrhosis were analyzed by Multiple linear analysis.Results1.Self-efficacy level of patients with cirrhosis.In this study,the lowest and highest score of self-efficacy of patients with cirrhosis were 4 and 7,the average score was(5.57 + 0.49).2.Coping style of patients with cirrhosis.In this study,the scores of three dimensions of coping styles were: confrontation 17.95±2.48,avoidance 15.60±1.99,acceptance-resignation 10.74±1.70,and the total score of coping style was 44.30±4.24.3.Self-management behavior of patients with cirrhosis.Four dimensions self-management behavior of patients with liver cirrhosis:16.10±2.17,15.86±2.12,10.95±1.85,11.57±2.15.The total score of Self-management behavior was 54.48±6.02.4.Correlation analysis between self-efficacy,coping style and self-management behavior of patients with cirrhosis.In the study,there was positive correlation between the self-efficacy and self-management behavior(r=0.315,P<0.01).Positive correlation between the coping style and self-management behaviors(r=0.328,P< 0.01)can be known.5.Multiple linear regression analysis showed that the influencing factors of the self-management behavior include self-efficacy(P<0.01),coping style(P<0.01),stage of cirrhosis(P<0.01),evaluation of medical expenses(P<0.05)and gender(P<0.05).Conclusions1.The self-efficacy,coping style and self-management behaviors of patients with cirrhosis in this study were below average level.2.Self-efficacy,coping styles and self management behavior of patients with liver cirrhosis were positively correlated,"confrontation ","avoidance" coping styles and self management behavior are related.Improvment of the patients' self-efficacy and coping styles can strengthen the self management behavior in patients with cirrhosis.3.Self-efficacy,coping style,gender,stage of cirrhosis and evaluation of medical expenses are factors affecting the self-management behavior of patients with cirrhosis.