摘要
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.
作者
张璟博
闫昌睿
张悦悦
赵璇
李天颖
刘璐
王雨欣
闫冠韫
ZHANG Jing-bo;YAN Chang-rui;ZHANG Yue-yue;ZHAO Xuan;LI Tian-ying;LIU Lu;WANG Yu-xin;YAN Guan-yun(Department of Pharmaceutical Administration,School of Humanities and Social Sciences of Harbin Medical University,Harbin 150081,China;Department of Massage,The First Clinical Medical College of Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《哈尔滨医科大学学报》
CAS
2024年第3期306-313,共8页
Journal of Harbin Medical University
基金
四川医事卫生法治研究中心项目(YF18-Y03)
陕西省哲学社会科学重点研究基地-陕西省健康文化研究中心课题(JKWH2019-Z03)
哈尔滨医科大学科研基金项目(HUMRW20210204)。
关键词
颈型颈椎病
自我效能
颈椎功能障碍
生活质量
调节效应
neck-type cervical spondylosis
self-efficacy
neck disability
quality of life
moderating effect