自我效能在肝移植受者社会支持与心理弹性间的中介效应

The mediating effect of self-efficacy on the relationship between social support and psychological resilience in liver transplant recipients

目的探讨肝移植受者自我效能、社会支持与心理弹性的关系,为提高其心理弹性水平提供依据。方法采用一般自我效能感量表、心理弹性量表、社会支持评定量表对某医院器官移植中心162例肝移植受者进行问卷调查。结果肝移植受者心理弹性得分为(65.28±16.57)分,社会支持得分为(42.01±8.11)分,自我效能得分为(2.66±0.64)分;肝移植受者社会支持得分与心理弹性得分呈正相关(r=0.446,P<0.01),自我效能得分与心理弹性得分呈正相关(r=0.678,P<0.01);自我效能在社会支持与心理弹性间起部分中介作用,中介效应占总效应的55.85%。结论肝移植受者心理弹性处于中等水平,社会支持处于较低水平,而社会支持和自我效能感是心理弹性水平的正向预测因子;社会支持可直接或通过自我效能间接地对肝移植受者心理弹性产生影响,临床医护人员应采取有效措施提升患者社会支持度和自我效能感,从而改善肝移植受者心理弹性水平。

Objective To investigate the relationship between social support,self-efficacy and psychological resilience in liver transplantation recipients.Methods A total of 162 liver transplant recipients in our organ transplant center were investigated with General Self-Efficacy Scale(GSES),Connor-Davidson Resilience Scale(CD-RISC)and Social Support Rating Scale(SSRS).Results The scores of CD-RISC,SSRS and GSES were(65.28±16.57),(42.01±8.11)and(2.66±0.64)respectively.The score of CD-RISC is positively correlated with SSRS(r=0.446,P<0.01)and GSES(r=0.678,P<0.01).Self-efficacy plays a partial mediating role between social support and psychological resilience,with the mediating effect accounting for 55.85%of the total effect.Conclusion The psychological resilience of liver transplantation recipients were in the middle level while social support in the lower level,and social support and self-efficacy were positive predictors of psychological resilience.Social support can directly or indirectly affect the mental resilience of liver transplant recipients through self-efficacy.Clinical medical staff should take effective measures to improve the social support and self-efficacy level of liver transplant recipients,so as to improve their psychological resilience.