目的探讨慢性病患者授权赋能、自我效能和积极度的现状，明确三者间的作用机制。
方法采取方便抽样法，以一般资料问卷、护士授权赋能行为患者感知量表、慢性病自我效能量表、患者积极度量表作为研究工具，选取2017年3—10月在广州市2所三级甲等综合医院就诊的485例住院慢性病患者作为研究对象，于患者出院当日进行问卷调查。
结果授权赋能能够正向预测自我效能( β＝0.402， P<0.01)和患者积极度( β＝0.169， P<0.01)，自我效能也能正向预测患者积极度( β＝0.887， P<0.01);自我效能在授权赋能与患者积极度间起部分中介作用，中介效应占总效应的67.87%。
结论护理人员应对慢性病患者进行有效授权赋能，重视自我效能的提高，从而提升患者自我管理的积极度，帮助患者顺利从出院前接受照护向出院后自我管理的状态过渡。
ObjectiveTo explore the present perceptions of patient-empowering nurse behaviours, self-efficacy and patient activation among patients with chronic diseases, and analyze the influencing mechanism among these three variables.
MethodsUsing convenient sampling method, a total of 485 inpatients with chronic diseases were sampled from two tertiary comprehensive hospitals in Guangzhou on the day of discharge between March and October 2017. They were surveyed with the demographic questionnaire, Patient Perceptions of Patient-Empowering Nurse Behaviours Scale , Chronic Disease Self-Efficacy Scale and Patient Activation Measure.
ResultsEmpowerment could positively predict self-efficacy ( β=0.402, P<0.01) and patient activation ( β=0.169, P<0.01). Self-efficacy could also positively predict patient activation ( β=0.887, P<0.01). And self-efficacy, of which the effect accounted for 67.87% of the total effect, played a partial intermediary role between empowerment and patient activation.
ConclusionsTo improve patient activation, empowerment and self-efficacy should be both emphasized and applied by the nurses, so that patients can move smoothly from a care receiver before discharge to one of self-management.
周春兰,汪思祺,王艳芳,等. 基于授权赋能理论的慢性病患者积极度研究[J]. 中华医院管理杂志,2018,34(8)：677-681.
DOI:10.3760/cma.j.issn.1000-6672.2018.08.016版权归中华医学会所有。
未经授权，不得转载、摘编本刊文章，不得使用本刊的版式设计。
除非特别声明，本刊刊出的所有文章不代表中华医学会和本刊编委会的观点。
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