郑州市中青年血液透析患者应对效能在感知控制与自我管理间的中介效应分析

Analysis on Mediating Effect of Coping Efficacy on Perceived Control and Self-management Behavior of Young and Middle-aged Patients with Hemodialysis in Zhengzhou

目的:探究中青年血液透析患者应对效能在感知控制与自我管理行为间的中介效应,为提高患者自我管理行为提供参考。方法:采用多维度健康控制量表、自我管理行为量表及应对效能问卷对郑州市两所三级甲等医院196名中青年血液透析患者进行调查。结果:中青年血液透析患者的自我管理行为、应对效能及感知控制得分依次为(57.03±9.27)、(52.54±8.76)、(68.85±11.48)。自我管理行为得分与感知内控性、他人控制、应对效能得分呈正相关(P<0.01)。中青年血液透析患者感知控制和自我管理行为间的直接效应为0.303,间接效应为0.156。结论:中青年血液透析患者自我管理行为与应对效能及感知控制均存在着联系,应对效能在感知控制与自我管理行为间起中介作用,医护工作者不仅要关注患者个人控制疾病的积极性,也应提供针对性支持以提升患者的应对能力,以期最大化地提高患者的自我管理行为。

Objective:To explore the mediating effect of coping efficacy between perceived control and self-management behavior in young and middle-aged patients with hemodialysis,so as to provide references for improving the self-management behavior of young and middle-aged hemodialysis patients.Methods:A total of 196 young and middle-aged patients with hemodialysis in two grade-A tertiary hospitals in Zhengzhou were investigated by the multi-dimensional health locus of control scale,self-management behavior scale and coping efficacy questionnaire.Results:The score of self-management behavior,coping efficacy and perceived control of young and middled-aged patients with hemodialysis was(57.03±9.27),(52.54±8.76)and(68.85±11.48)respectively.The self-management behavior score was positively correlated with perceived internal control,others control and coping efficacy(P<0.01).The direct effect of perceived control and self-management behavior of young and middle-aged hemodialysis patients was 0.303,and the indirect effect was 0.156.Conclusion:There is a relationship among self-management behavior,coping efficacy and perceived control,and coping efficacy plays a role in mediating the perceived control and self-management behavior.Medical staff should pay attention to patients'enthusiasm to control disease,and provide targeted support for patients to improve their coping efficacy,thereby better improving their self-management behavior.