自尊在支气管哮喘患者生活质量与疲劳间的中介效应

Mediating Effect of Self-esteem on Quality of Life and Fatigue in Patients with Bronchial Asthma

目的 探讨支气管哮喘患者自尊、生活质量与疲劳情况,并分析自尊在生活质量与疲劳间的中介效应。方法 选取商丘市第一人民医院2018年12月至2022年1月收治的120例支气管哮喘患者,于患者出院时,采用疲劳量表-14(FS-14)、自尊量表(SES)、哮喘生活质量问卷(AQLQ)分别评估患者疲劳、自尊、生活质量水平,分析支气管哮喘患者疲劳、自尊、生活质量间的相关性,以及自尊在生活质量与疲劳间的中介效应。结果 120例支气管哮喘患者经评估,FS-14评分为(21.54±2.69)分;SES评分为(23.96±2.42)分;AQLQ评分为(96.14±5.90)分;经一般线性双变量Pearson直线相关性分析检验,支气管哮喘患者FS-14评分与SES评分、AQLQ评分呈负相关(r<0,P<0.05);SES评分与AQLQ评分呈正相关(r>0,P<0.05);经中介效应检验程序检验,自尊在生活质量与疲劳间发挥部分中介效应,中介效应值为0.147,中介效应对总效应的贡献率为29.45%。结论 自尊在支气管哮喘患者生活质量与疲劳间发挥部分中介效应,且较高水平的自尊与较低水平的疲劳,可提高患者生活质量。

Objective To investigate self-esteem, quality of life and fatigue in patients with bronchial asthma, and to analyze the mediating effect of self-esteem between quality of life and fatigue.Methods A total of 120 patients with bronchial asthma treated in Shangqiu First People’s Hospital from December 2018 to January 2022 were selected. At the time of discharge, the fatigue scale-14(FS-14), self-esteem scale(SES) and asthma quality of life questionnaire(AQLQ) were used to assess the level of fatigue, self-esteem and quality of life of patients. The correlation among fatigue, self-esteem and quality of life in patients with bronchial asthma, and the mediating effect of self-esteem between quality of life and fatigue were analyzed.Results The FS-14 score of 120 patients with bronchial asthma was(21.54±2.69) points, the SES score was(23.96±2.42) points, AQLQ score was(96.14±5.90) points after assessment. The general linear bivariate Pearson linear correlation analysis showed that FS-14 score was negatively correlated with SES score and AQLQ score in patients with bronchial asthma(r<0, P<0.05). SES score was positively correlated with AQLQ score(r>0, P<0.05). According to the mediating effect test procedure, self-esteem played a part of mediating effect between quality of life and fatigue. The mediating effect value was 0.147, and the contribution rate of mediating effect to the total effect was 29.45%.Conclusion Self-esteem plays a part of mediating effect between quality of life and fatigue in patients with bronchial asthma, and a higher level of self-esteem and a lower level of fatigue can improve the quality of life of patients with bronchial asthma.