子宫内膜异位症术后患者社会支持在自我效能和焦虑/抑郁中的作用

The mediating effect of social support on self-efficacy and anxiety/depression in endometriosis patients

目的探讨子宫内膜异位症术后患者社会支持在自我效能和焦虑/抑郁中的作用机制,为患者心理干预提供参考。方法选取温州医科大学附属第一医院妇科病区子宫内膜异位症术后3个月复查的患者240例,运用医院焦虑抑郁量表、社会支持评定量表、自我效能感量表、一般资料调查表进行问卷调查。采用SPSS 26.0软件中的Process v3.0分析社会支持在焦虑/抑郁和自我效能间的中介作用。结果社会支持与自我效能呈正相关(r=0.614,P<0.05),焦虑/抑郁与自我效能呈负相关(r=-0.685/r=-0.646,P<0.05)。社会支持在焦虑/抑郁和自我效能间的效应占比分别为18.8%和20.4%。结论子宫内膜异位症术后患者的社会支持在焦虑/抑郁和自我效能间起部分中介作用,医务人员可通过加强患者的社会支持和降低消极情绪,帮助患者增强自信心,提高自我效能水平。

Objective To explore the mechanism of social support on self-efficacy and anxiety/depression in endometriosis patients,and to provide reference for psychological intervention.Methods A total of 240 patients with endometriosis in the Gynecological Ward,the First Affiliated Hospital of Wenzhou Medical University who underwent a 3-month follow-up after surgery were selected,the hospital anxiety and depression scale,social support rating scale,self-efficacy scale and general information questionnaire were used.Process v3.0 of SPSS 26.0 software was used to analyze the mediating effect of social support on anxiety/depression and self-efficacy.Results Social support was positively correlated with self-efficacy(r=0.614,P<0.05),and anxiety/depression was negatively correlated with self-efficacy(r=-0.685,r=-0.646,P<0.05).The effects of social support on anxiety/depression and self-efficacy were 18.8%and 20.4%.Conclusion Social support may play a role in mediating the endometriosis between anxiety/depression and self-efficacy.Medical staff may enhance social support and reduce negative emotions,to help patients enhance self-confidence,improve the level of self-efficacy.