新型冠状病毒肺炎患者的自我效能感在负性情绪与睡眠质量间的中介作用

Mediating effect of self-efficacy between negative emotion and sleep quality in COVID-19 patients

目的:探讨新型冠状病毒肺炎患者的负性情绪与睡眠质量之间的关系,以及自我效能感在负性情绪和睡眠质量间的中介作用。方法:对60例新冠肺炎患者采用自编一般人口学资料调查表、焦虑自评量表(Self-Rating Anxiety Scale, SAS)、抑郁自评量表(Self-Rating Depression Scale, SDS)、匹兹堡睡眠质量指数(Pittsburgh sleep quality index, PSQI)、一般自我效能感量表(General Self-Efficacy Scale, GSES)进行问卷调查。结果:新冠肺炎患者的焦虑症状检出率为33.3%,抑郁症状检出率为50.0%,睡眠障碍检出率为56.7%。SAS、SDS、PSQI评分分别为(44.96±13.51)分、(50.06±14.60)分和(6.98±4.69)分。新冠肺炎患者的负性情绪负向预测自我效能感(β=-0.47,P<0.001),自我效能感负向预测睡眠质量(β=-0.49,P<0.001),负性情绪正向预测睡眠质量(β=0.43,P<0.001)。新冠肺炎患者的自我效能感水平在负性情绪与睡眠质量间起部分中介作用,效应量为34.89%。结论:新冠肺炎患者的自我效能感在负性情绪和睡眠质量间起部分中介作用,负性情绪可以直接和通过自我效能感的部分中介作用影响睡眠质量。

Objective:To explore the relationship between negative emotions and sleep quality in COVID-19 patients, and the mediating effect of self-efficacy in negative emotions and sleep quality.Methods:SixtyCOVID-19 patients were investigated by self-designed general demographic survey scale, Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),General Self-Efficacy Scale(GSES),and Pittsburgh Sleep Quality Index(PSQI).Results:The detection rate of anxiety symptoms, depression symptoms and sleep disorders of COVID-19 patients was 33.3%,50.0% and 56.7%,respectively.The total scores of SAS,SDS and PSQI were(44.96±13.51),(50.06±14.60)and(6.98±4.69).The patients’ negative emotions had negative predict ability to self-efficacy(β=-0.47,P<0.001);self-efficacy had negative predict ability to sleep quality(β=-0.49,P<0.001),and negative emotions had positive predict ability to sleep quality(β=0.43,P<0.001).The patients’ self-efficacy played a partial mediating effect between negative emotions and sleep quality, and the effect ratio was 34.89%.Conclusion:Self-efficacy of COVID-19 patients plays a partly mediating role between negative emotions and sleep quality.Negative emotions can directly and through the part of mediating role of self-efficacy affect sleep quality.