帕金森患者希望在自我管理效能与生命质量间的中介效应研究  

The mediating effects of hope between disease self-management and quality of life

作　　者：刘娜[1] 郭玉莲 赵新利 李海燕[1] 李超[1] Liu Na;Guo Yulian;Zhao Xinli;Li Haiyan;Li Chao(Department of Neurosurgery,Qilu Hospital of Shandong University,Ji′nan 250012,China)

机构地区：[1]山东大学齐鲁医院神经外科,济南250012

出　　处：《中国实用护理杂志》2020年第13期973-978,共6页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(81501094)。

摘　　要：目的探讨希望在帕金森患者自我管理效能与生命质量之间的中介作用。方法抽取住院的347例帕金森患者进行横断面自陈问卷调查,采用Herth希望量表(HHI)、慢性病自我效能量表(CDSMSM)、生命质量评价简明量表(SF-12)与自行设计的一般情况调查表进行问卷调查,建立和检验希望在自我管理效能与生命质量之间的中介模型。结果帕金森患者HHI总分为(28.11±4.59)分,CDSMSM总分为(5.52±1.59)分,SF-12中躯体健康(PCS)总评分为(51.64±21.09)分,精神健康(MCS)总评分为(71.42±18.35)分;自我管理效能与希望呈正相关(r值为0.358,P<0.01),希望与SF-12中的PCS、MCS呈正相关(r值为0.437、0.514,P<0.01),自我管理效能与SF-12中的PCS、MCS呈正相关(r值为0.334、0.326,P<0.01);希望在自我管理效能与生命质量之间的中介模型拟合度指数高,各路径系数显著(P<0.01),希望在自我管理效能与生命质量之间存在中介效应,帕金森患者自我管理效能对生命质量的直接效应和间接效应分别为0.221、0.176。结论自我管理效能对帕金森患者生命质量有直接预测作用,希望在自我管理效能与生命质量之间存在中介效应。临床护理工作中,应充分重视自我管理效能和心境健康在帕金森患者康复过程和生活中的作用,帮助帕金森患者增强疾病治疗的希望、慢性病自我管理能力,通过树立信心,坚持康复锻炼和遵医嘱治疗,提升生命质量。Objective To explore the mediating effects of hope between disease self-management and quality of life.Methods By convenient sampling,347 Parkinson inpatient were analyzed by using Herth Hope Index(HHI)and Chronic Disease Self-Management Study Measures(CDSMSM)and 12-item Short Form health survey(SF-12)and the self-designed General Condition Questionnaire,and proposes a mediating model and tests the impacts of hope on disease self-management and quality of life.Results The score of HHI was 28.11±4.59,and the score of CDSMSM was 5.52±1.59,and the score of physical component summary physical component summary(PCS)was 51.64±21.09,and the score of mental component summary(MCS)was 71.42±18.35.The scores of HHI significantly was positively correlated with the scores of CDSMSM(r value was 0.358,P<0.01)and the scores of PCS(r value was 0.437,P<0.01)and MCS(r value was 0.514,P<0.01),and there was positive correlation between the scores of CDSMSM and the scores of PCS(r value was 0.334,P<0.01)and MCS(r value was 0.326,P<0.01).The mediating model had high degree of fitting,and level of path had statistical significance(P<0.01).Hope was the mediator between disease self-management and quality of life.Disease self-management had direct effects(βvalue was 0.221)on quality of life and indirect effects(βvalue was 0.176)through hope.Conclusions Disease self-management was a direct predictor of quality of life,and hope had mediating effects between disease self-management and quality of life.We should pay enough attention to the effects of disease self-management ability and mental health of patients with Parkinsonism in clinical nursing,and increased the care to the Parkinson's inpatient with emotion disorder,while promote and develop their coping ability,propaganda and psychological guidance,so that improves mental health of the Parkinson inpatient and help them positive coping,and maintain good mental health status,and improve the quality of life.

关 键 词：帕金森病 生活质量 自我管理效能 希望 中介效应 

分 类 号：R473[医药卫生—护理学]