【摘要】目的调查维持性血液透析患者的健康素养现状，探讨血液透析患者健康素养与患者自我效能感及自我管理活动的相关性，为改进血液透析患者健康管理模式，提高患者自我效能及自我管理能力提供理论依据。方法采取便利抽样法对四川大学华西医院肾脏内科血液透析中心就诊的239名维持性血液透析患者采用台湾血液透析患者健康素养问卷、自我管理行为量表及自我效能量表进行统一问卷调查。结果本次健康素养的调查总分为(19.19±3.34)分，自我管理的总分为(60.05±10.53)分，自我效能的总分为(6.94±2.04)分，健康素养水平与患者的自我管理呈正相关(r=0.270，P＜0.001),与患者的自我效能呈正相关(r=0.257，P＜0.001)。结论血液透析患者健康素养水平与自我管理及自我效能之间存在着密切的关系,我们应通过提高患者的健康素养水平，从而提高患者的自我管理水平和自我效能。

【Abstract】Objective To investigate the status quo of health attainment in maintenance hemodialysis (MHD) patients and to explore the correlation between their health attainment and their self-management and self-efficacy activities, so as to provide a theoretical basis for improving the health management mode and enhancing the self-efficacy and self-management abilities in MHD patients. Methods A total of 239 MHD patients admitted to the Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University were investigated by the convenience sampling method. Results The total score of health attainment survey was (19.19 3.34), the total score of self-management was (60.05 10.53), and the total score of self-efficacy was (6.94 2.04). Therefore, the level of health attainment was positively correlated with the patients' selfmanagement(r=0.270, P＜ 0.001) and self-efficacy (r=0.257, P＜0.001). Conclusion There was a close relationship between the health attainment level and the self-management and self-efficacy in MHD patients.