摘要
目的探讨炎症性肠病患者(IBD)患者自我效能在疾病活动指数与生活质量中的中介作用。方法采用便利抽样的方法选取于2018年1月—2019年3月在北京协和医院消化内科住院的173例IBD患者为研究对象,采用炎症性肠病患者生活质量量表(IBDQ)、慢性病自我效能量表(CDM-SES)、疾病活动指数评价表(CAI/CDAI)对患者进行调查,并对数据进行相关和回归分析。采用温忠麟等提出的检验中介效应程序进行中介效应检验。结果 IBD患者疾病活动指数与生活质量(r=-0.466,P<0.01)、症状管理(r=-0.156,P<0.05)呈负相关;生活质量与自我效能呈正相关(r=0.346,P<0.01)。自我效能在疾病活动指数和生活质量之间存在部分中介作用。结论 IBD患者的自我效能在疾病活动指数和生活质量之间起部分中介作用,护理工作者应注意提高疾病活动期患者的自我效能,从而改善其生活质量。
Objective To explore the mediating role of self-efficacy between disease activity index and quality of life in patients with inflammatory bowel disease(IBD).Methods From January 2018 to March 2019,convenience sampling was used to select 173 IBD patients hospitalized in the Department of Gastroenterology of Peking Union Medical College Hospital as the research object.Patients were investigated with the Inflammatory Bowel Disease Questionnaire(IBDQ),Chronic Disease Management Self-Efficacy Scale(CDM-SES)and the Disease Activity Index[Colitis Activity Index(CAI)/Crohn's Disease Activity Index(CDAI)].We performed correlation and regression analysis on the data.The mediation effect test was carried out by using the test mediation effect procedure proposed by Wen Zhonglin.Results IBD patients'disease activity index was negatively correlated with quality of life(r=-0.466,P<0.01),symptom management(r=-0.156,P<0.05);quality of life was positively correlated with self-efficacy(r=0.346,P<0.01).Self-efficacy had a mediating effect between disease activity index and quality of life.Conclusions The self-efficacy of patients with IBD plays a partially mediating role between disease activity index and quality of life.Nurses should pay attention to improving the self-efficacy of patients with active disease,thereby improving their quality of life.
作者
关玉霞
尤丽丽
张悦
吕红
Guan Yuxia;You Lili;Zhang Yue;Lyu Hong(International Medical Department,Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing 100730,China;Department of Gastroenterology,Chinese Academy of Medical Sciences,Peking Union Medical College Hospital,Beijing 100730,China)
出处
《中华现代护理杂志》
2020年第35期4964-4969,共6页
Chinese Journal of Modern Nursing
关键词
炎症性肠病
自我效能
疾病活动指数
生活质量
Inflammatory bowel diseases
Self-efficacy
Disease activity index
Quality of life
