摘要
目的探讨社会支持在老年经外周静脉置入中心静脉导管(PICC)置管肿瘤患者自我管理能力与健康促进生活方式之间的中介作用。方法本研究为横断面研究。采用便利抽样法,选取2018年10月—2019年10月河南省2所三级甲等综合医院的收治的472例老年PICC置管肿瘤患者为研究对象。采用一般情况调查表、肿瘤患者PICC自我管理能力量表、社会支持评定量表、健康促进生活方式量表Ⅱ对其进行调查,并分析社会支持在老年PICC置管肿瘤患者自我管理能力与健康促进生活方式之间的中介效应。本研究共发放问卷472份,回收有效问卷467份,有效回收率为98.9%。结果467例老年PICC置管肿瘤患者的社会支持得分为(42.87±7.94)分,自我管理能力得分为(147.32±22.17)分,健康促进生活方式得分为(114.93±25.20)分;社会支持与自我管理能力得分呈正相关(r=0.244,P<0.01),社会支持与健康促进生活方式得分呈正相关(r=0.377,P<0.01),自我管理能力与健康促进生活方式得分呈正相关(r=0.471,P<0.01);中介效应分析结果显示,社会支持在老年PICC置管肿瘤患者的自我管理能力与健康促进生活方式之间起部分中介效应,占总效应的17.6%。结论社会支持是老年PICC置管肿瘤患者的自我管理能力与健康促进生活方式的中介变量。医护人员应重视并提高老年PICC置管肿瘤患者的社会支持水平,以采取相应干预措施提升老年PICC置管肿瘤患者的健康促进行为及健康水平。
Objective To explore the mediating effect of social support between self-management ability and health-promoting lifestyle in elderly cancer patients with peripherally inserted central catheter(PICC).Methods This study was a cross-sectional study.From October 2018 to October 2019,convenience sampling was used to select 472 elderly cancer patients with PICC from two ClassⅢGrade A general hospitals in Henan Province as the research subject.The General Information Questionnaire,Cancer Patients PICC Self-management Scale(CPPSM),Social Support Rating Scale(SSRS)and Health Promotion Lifestyle ProfileⅡ(HPLP-Ⅱ)were used for investigation.The mediating effect of social support between self-management ability and health-promoting lifestyle in elderly cancer patients with PICC was analyzed.A total of 472 questionnaires were distributed,and 467 valid questionnaires were recovered,with a valid recovery rate of 98.9%.Results Among 467 elderly cancer patients with PICC,the scores of social support,self-management ability,and health-promoting lifestyle were(42.87±7.94),(147.32±22.17),and(114.93±25.20),respectively.There was a positive correlation between social support and self-management ability(r=0.244,P<0.01),a positive correlation between social support and health-promoting lifestyle(r=0.377,P<0.01),and a positive correlation between self-management ability and health-promoting lifestyle(r=0.471,P<0.01).The results of the mediating effect analysis showed that social support played a partial mediating effect between the self-management ability and the health-promoting lifestyle of elderly cancer patients with PICC,accounting for 17.6%of the total effect.Conclusions Social support is a mediating variable between self-management ability and health-promoting lifestyle in elderly cancer patients with PICC.Medical and nursing staff should pay attention to and improve the social support of elderly cancer patients with PICC,and take corresponding intervention measures to improve the health-promoting behavior and health level of elderly cancer patients.
作者
蒿若楠
杨巧芳
白姗
董方方
张媛媛
张灵芳
Hao Ruonan;Yang Qiaofang;Bai Shan;Dong Fangfang;Zhang Yuanyuan;Zhang Lingfang(Nursing Department,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451460,China;Fourth Ward of Coronary Heart Disease,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451460,China;Vascular Surgery Ward,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451460,China;Intensive Care Unit of Pediatric Cardiac Center,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451460,China;Operating Room,Fuwai Central China Cardiovascular Hospital,Zhengzhou 451460,China)
出处
《中华现代护理杂志》
2022年第15期1982-1987,共6页
Chinese Journal of Modern Nursing
基金
河南省医学科技攻关计划(联合共建)项目(LHGJ20190770)。
