摘要
目的:探讨自我效能在恐惧疾病进展与生存质量间的中介效应。方法:通过便利抽样法于2019年7月-2020年1月采用恐惧疾病进展简化量表、糖尿病自我效能量表、欧洲五维健康量表,对245例2型糖尿病患者进行调查。结果:患者健康描述系统效用指数为0.86±0.20,EQ-5D视觉模拟量表评分为(81.51±11.45)分。恐惧疾病进展评分为(28.02±8.66)分,31.4%患者因过度恐惧疾病进展而心理功能失调。自我效能评分为(130.85±37.27)分,处中等水平。Pearson相关分析显示,T2DM患者恐惧疾病进展与自我效能呈负相关(r=-0.44,P<0.01),与健康相关生存质量呈负相关(r=-0.23,P<0.01),自我效能与健康相关生存质量情况呈正相关(r=0.25,P<0.01)。自我效能在恐惧疾病进展与生存质量间存在部分中介效应,占总效应的35.7%。结论:自我效能在恐惧疾病进展与生存质量间发挥部分中介效应。
Objective:To explore the mediating effect of self-efficacy in the relationship between fear of progression and quality of life in patients with type 2 diabetes mellitus.Method:A total of 245 patients were recruited by convenient sampling method from July 2019 to January 2020,the fear of progression questionnaire-short form,diabetes management self-efficacy scale and European quality of life-five dimensions were used to collect data.Result:The utility index of health description system was 0.86±0.20,and the EQ-5D visual analog scale score was(81.51±11.45)points.The fear disease progression score was(28.02±8.66)points,31.4%of patients suffered from psychological dysfunction due to excessive fear of progression.The self-efficacy score was(130.85±37.27)points,in a moderate level.Pearson correlation analysis showed that fear of disease progression in T2DM patients was negatively correlated with self-efficacy(r=-0.44,P<0.01),and negatively correlated with health-related quality of life(r=-0.23,P<0.01),and self-efficacy was positively correlated with health-related quality of life(r=0.25,P<0.01).Self-efficacy played a partial mediating between fear of progression and quality of life,accounting for 35.7%of the total effect.Conclusion:Self-efficacy plays a partial mediating between fear of progression and quality of life.
作者
唐娇
何姗
TANG Jiao;HE Shan(School of Nursing,Chongqing Medical University,Chongqing 400016,China)
出处
《中外医学研究》
2021年第7期160-162,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
重庆市教委护理学十三五重点学科资助项目(2019hlxk16)。
关键词
2型糖尿病
恐惧疾病进展
自我效能
生存质量
中介效应
Type 2 diabetes mellitus
Fear of progression
Self-efficacy
Quality of life
Mediating effect
