颈型颈椎病患者自我效能在颈椎功能障碍与生活质量之间的调节效应

Moderating effects of self-efficacy on the relationship between neck disability and quality of life in patients with neck-type cervical spondylosis

目的探讨颈型颈椎病患者自我效能在颈椎功能障碍与生活质量之间的调节作用,为改善颈型颈椎病患者的生活质量提供参考。方法采用一般资料调查表、颈椎功能障碍指数(the neck disability index,NDI)、SF-12量表(the 12-items Short Form Health Survey,SF-12)、慢性病管理自我效能量表(Self-Efficacy for Managing Chronic Disease Scale,SEMCD)对哈尔滨市5所三甲医院的颈型颈椎病患者进行问卷调查。采用多元线性回归分析和简单斜率分析验证自我效能在颈椎功能障碍与生活质量间的调节效应。结果共调查515名颈型颈椎病患者,患者的自我效能与生活质量呈正相关(P<0.05),患者的颈椎功能障碍与生活质量呈负相关(P<0.05);自我效能在颈椎功能障碍与生活质量间存在调节效应(β=-0.067,P<0.001)。结论颈型颈椎病患者的自我效能可调节颈椎功能障碍对患者生活质量的不良影响。有必要通过积极的健康教育和自我管理指导,提高患者自我效能,改善患者生活质量。

Objective To explore the moderating effect of self-efficacy on the relationship between neck disability and quality of life in patients with neck-type cervical spondylosis,to provide references for improving the quality of life of patients with neck-type cervical spondylosis.Methods A questionnaire survey was conducted on patients with cervical spondylosis of the neck type in five tertiary hospitals in Harbin by using a general information questionnaire,the neck disability index(NDI),the 12-item Short Form Health Survey(SF-12),and the Self-Efficacy for Managing Chronic Disease Scale(SEMCD).Multiple linear regression analysis and simple slope test were used to verify the moderating effect of self-efficacy between neck disability and quality of life.Results A total of 515 patients with cervical spondylosis of the neck type were surveyed.There was a positive correlation between patients'self-efficacy and quality of life(P<0.05),and a negative correlation between neck disability and quality of life(P<0.05);Self-efficacy had a moderating effect between neck disability and quality of life(β=-0.067,P<0.001).Conclusion The self-efficacy of patients with cervical spondylosis of the neck type can moderate the adverse impact of neck disability on patients'quality of life.Through active health education and self-management guidance,patients'self-efficacy can be improved,thereby improving their quality of life.