类风湿关节炎患者疲劳与赋权水平及自我效能的关系研究

Study on the relationship between fatigue, empowerment level and self-efficacy in rheumatoid arthritis patients

目的分析类风湿关节炎患者疲劳与赋权水平及自我效能三者间的关系。方法对219例类风湿关节炎患者采用一般资料调查表、Bristol类风湿关节炎患者疲劳多维度问卷、赋权感知量表、中文版关节炎自我效能感量表-8进行问卷调查。使用SPSS20.0软件进行相关分析,并利用AMOS软件构建结构方程模型对自我效能在类风湿关节炎患者赋权水平与疲劳间的中介作用进行检验。结果疲劳与赋权水平呈负相关(r=-0.62,P<0.05),与自我效能呈负相关(r=-0.81,P<0.05);自我效能在类风湿关节炎患者赋权水平与疲劳存在中介作用,中介效应占总效应的96.41%。结论类风湿关节炎患者疲劳与赋权水平、自我效能呈负相关关系,且自我效能在赋权水平与疲劳间存在中介作用。

Objective To analyze the relationship between fatigue and self- efficacy and empowerment in patients with rheumatoid arthritis. Methods A total of 219 cases of rheumatoid arthritis were investigated by general data questionnaire, Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire, Chinese Version of Patient Perception of Empowerment Scale and Chinese Version of Arthritis Self-efficacy Scale-8. SPSS 20.0 software was used for correlation analysis and AMOS software was used to construct structural equation model to test the mediating effect of self-efficacy between empowerment level and fatigue in patients with rheumatoid arthritis. Results There was a significant negative correlation between fatigue and empowerment level (r=-0.62, P <0.05), and a significant correlation between fatigue and self-efficacy (r=-0.81, P <0.05). Self-efficacy had a mediating effect on empowerment level and fatigue in patients with rheumatoid arthritis, and the mediating effect accounted for 96.41% of the total effect. Conclusions Self-efficacy has mediating effect between powerment level and fatigue in patients with rheumatoid arthritis.