自我效能与社会支持在尿路造口患者病耻感与生活质量间的中介效应
The mediating role of self-efficacy and social support on the relationship between disease stigma and quality of life in urostomy patients
李丽君 1耿力 2杨荆艳 1徐丽芬 1郭潇 1曾含露2
作者信息
- 1. 华中科技大学同济医学院附属协和医院泌尿外科(湖北武汉,430022)
- 2. 华中科技大学同济医学院附属协和医院护理部(湖北武汉,430022)
- 折叠
摘要
目的 探讨自我效能和社会支持在尿路造口患者病耻感对生活质量影响中的中介作用,为提高患者的生活质量提供参考.方法 采用一般资料调查表、社会影响量表、社会支持量表、自我效能量表、生活质量量表对298例尿路造口患者进行问卷调查,构建结构方程模型.结果 尿路造口患者病耻感总分为(55.88±9.23)分,生活质量总分为(136.36±18.79)分.尿路造口患者病耻感与生活质量呈负相关(P＜0.05);自我效能和社会支持在病耻感与生活质量之间起中介作用,中介效应占总效应的69.83％.结论 尿路造口患者的生活质量处于低水平.社会支持、自我效能在尿路造口患者病耻感对生活质量的影响中起中介作用.护理人员应采取积极有效的干预措施,减轻尿路造口患者的病耻感,提高患者的自我效能和社会支持,以促进生活质量的提高.
Abstract
Objective To explore the mediating role of self-efficacy and social support in the influence of stigma on quality of life,so as to provide theoretical reference for nurses to carry out nursing health education for patients with urostomy.Methods General Data Questionnaire,Social Impact Scale,Social Support Rating Scale,Stoma Self-Efficacy Scale and City of Hope-Quality of Life-Osto-my Questionnaire were used to investigate 298 patients with urostomy who met the inclusion criteria.A structural equation model was constructed.Results The total shame score of urostomy patients was(55.88±9.23)points.The total quality of life score of the patients was(136.36±18.79).There was a negative correlation between stigma and quality of life in patients with urostomy(P＜0.05).Self-efficacy and social support mediated the relationship between stigma and quality of life,with the mediating effect ac-counting for 69.83％of the total effect.Conclusion Overall quality of life of urostomy patients was at a low level.Social support and self-efficacy play a mediating role in the effect of disease shame on quality of life in patients with urostomy.Caregivers cantake posi-tive and effective interventions to reduce patients'sense of shame,improve patients'self-efficacy and social support,in order to promote the quality of life of urostomy patients.
关键词
膀胱癌/尿路造口/生活质量/病耻感/社会支持/自我效能/中介效应/结构方程模型Key words
bladder cancer/urostomy/quality of life/disease stigma/social support/self-efficacy/mediating role/structural equation model引用本文复制引用
出版年
2024
NETL
NSTL
万方数据