摘要
目的探讨自我效能、医学应对、社会支持对慢性乙型肝炎患者心理韧性的中介作用、直接作用和间接作用。方法采用Connor-Davidson心理韧性量表(the Connor-Davidson resilience scale,CD-RISC)、一般自我效能量表(general self-efficacy scale,GSES)、医学应对方式问卷(medical coping modes questionnaire,MCMQ)和社会支持量表(social support rating scale,SSRS),对384名确诊为慢性乙型肝炎、无精神问题和严重躯体疾病的住院与门诊就诊的患者进行问卷调查。通过路径分析考察各变量间的关系。结果(1)慢性乙肝患者心理韧性总分为(61.64±15.36)分,自我效能得分为(25.40±5.70)分,社会支持总分为(39.82±7.39)分,面对应对得分为(19.02±3.72)分,回避应对得分为(16.63±2.69)分,屈服应对得分为(8.45±2.94)分。(2)Pearson分析显示,自我效能、医学应对和社会支持与心理韧性显著相关(r=-0.26-0.82,P<0.05)o(3)路径分析结果显示,自我效能(β=0.53)、面对(β=0.10)、回避(β=0.17)和屈服(β=-0.13)对心理韧性有直接预测作用;自我效能除直接作用外,还通过回避和屈服间接预测心理韧性(β=0.05);社会支持通过自我效能、面对和屈服间接预测心理韧性(β=0.18)。结论自我效能、医学应对方式和社会支持通过直接或间接作用于心理韧性,是其重要的影响因素。
Objective To explore the mediating,direct and indirect roles of self-efficacy,social support and medical coping modes with resilience in patients with chronic hepatitis B.Methods Totally 384 inpatients and outpatients with chronic hepatitis B,without physical ailments or mental problems were selected.The Connor-Davidson resilience scale(CD-RISC),general self-efficacy scale(GSES),medical coping modes questionnaire(MCMQ)and social support rating scale(SSRS)were adopted in this research.The relationship among all variables was explored by path analysis.Results(1)The total scores of resilience,self-efficacy,social support,confrontation,avoidance and acceptance-resignation in chronic hepatitis B patients were(61.64±15.36),(25.40±5.70),(39.82±7.39),(19.02±3.72),(16.63±2.69)and(8.45±2.94)‘respectively.(2)Pearson analysis showed that the scores of self-efficacy,medical coping and social support were significantly correlated with resilience(r=-0.26-0.82,P<0.05).(3)Importantly,path analysis showed that self-efficacy(β=O.53),confrontation(β=0.10),avoidance(β=0.17)and acceptance-resignation(β=-0.13)had direct prediction effects on resilience.Additionally,self-efficacy was indirectly related to resilience(β=0.05),and social support also indirectly related to resilience through self-efficacy,confrontation and acceptance-resignation(β=0.18).Conclusion Self-efficacy,social support and medical coping are the important factors which play a direct or indirect role in resilience.
作者
王潇
张爱迪
严谨
刘艳
龙飞艳
Wang Xiao;Zhang Aidi;Yan Jin;Liu Yan;Long Feiyan(The Third Xiangya Hospital of Central South University,Changsha 410013,China;Xiangya Nursing School of Central South University,Changsha 410013,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2019年第11期988-993,共6页
Chinese Journal of Behavioral Medicine and Brain Science
基金
湖南省自然科学基金项目(2019JJ50913)。
