摘要
目的探讨社会支持、自我效能、自我管理、健康信念及负性情绪对2型糖尿病患者主观幸福感的影响,并分析其影响路径。方法采用社会支持评定量表、糖尿病自我效能量表、糖尿病自我管理行为量表、健康信念量表、焦虑及抑郁自评量表及纽芬兰纪念大学幸福度量表对2017年11月—2018年11月在山西省某三级甲等医院内分泌科346名2型糖尿病住院患者进行问卷测量。结果2型糖尿病患者主观幸福感总分为28.54±9.25分,社会支持对主观幸福感有正向预测作用(效应值=0.10,95%CI=0.01~0.19),并通过自我效能、自我管理、健康信念及负性情绪对主观幸福感产生间接效应(效应值=0.03,0.08,0.04,-0.11,95%CI=0.02~0.06,0.04~0.14,0.02~0.08,-0.17~0.06)。结论2型糖尿病患者主观幸福感处于中等水平,自我效能、自我管理、健康信念及负性情绪是重要影响因素。建议家属及医务人员给予患者积极的关注和支持,帮助患者保持良好的心理状态,促进疾病的康复。
Objective To explore the influence of social support,self-efficacy,self-management,health belief and negative emotion on the subjective well-being of type 2 diabetic mellitus patients and to analyze the influencing path.Methods 346 hospitalized patients with type 2 diabetes from November 2017 to November 2018 in the department of endocrinology of a tertiary first-class hospital in Shanxi province were assessed by Social Support Scale,Diabetes Self-efficacy Scale,Diabetes Self-Management Behavior Scale,Health Belief Scale,Self-rating Anxiety and Depression Scale and Happiness Scale of Memorial University of Newfoundland.Results The total score of subjective well-being was 28.54±9.25.Social support had a positive predictive effect on subjective well-being(effect size=0.10,95%CI=0.01~0.19)and had indirect effects on subjective well-being through self-efficacy,self-management,health belief and negative emotion(effect size=0.03,0.08,0.04,-0.11,95%CI=0.02~0.06,0.04~0.14,0.02~0.08,-0.17^-0.06).Conclusion Subjective well-being of type 2 diabetes mellitus patients is at a moderate level.Self-efficacy,self-management,health beliefs and negative emotions are important influencing factors.It is suggested that family members and medical staff should give patients active attention and support to help patients maintain good mental state and promote disease rehabilitation.
作者
乔姗姗
石美霞
李英琦
QIAO Shanshan;SHI Meixia;LI Yingqi(School of Nursing,Shanxi Medical University,Taiyuan,030001,China)
出处
《中国社会医学杂志》
2020年第4期386-389,共4页
Chinese Journal of Social Medicine
基金
教育部人文社会科学研究规划基金项目(14-YJA190003)
山西省软科学研究项目(2017041037-3)。
关键词
2型糖尿病
主观幸福感
路径分析
Type 2 diabetes Mellitus
Subjective well-being
Path analysis
