自我效能感和自我管理能力在农村老年冠心病患者家庭关怀度与生活质量间的中介作用  

Mediation Effect of Self-Efficacy and Self-Management Ability between Family Care and Quality of life in Elderly Patients with Coronary Heart Disease from Rural Areas

作　　者：张宏晨 王艳红[1] 唐楠[1] 梁雪萍 王芳 闫兰兰 杨彦伟[3] ZHANG Hongchen;WANG Yanhong;TANG Nan;LIANG Xueping;WANG Fang;YAN Lanlan;YANG Yanwei(School of Nursing,Lanzhou University,Lanzhou 730030,Gansu Province,China;Health emergency office,Health Commission of Gansu Province,Lanzhou 730030,Gansu Province,China;Department of Stomatology,The 940th Hospital of Joint Logistic Support Force of the Chinese People’s Liberation Army,Lanzhou 730030,Gansu Province,China)

机构地区：[1]兰州大学护理学院,甘肃兰州730030 [2]甘肃省卫生健康委员会卫生应急办公室,甘肃兰州730030 [3]中国人民解放军联勤保障部队第940医院口腔科,甘肃兰州730050

出　　处：《解放军护理杂志》2021年第5期13-16,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：甘肃省卫生健康行业科研计划项目(GSWSKY 2020-02)。

摘　　要：目的探讨农村老年冠心病患者的家庭关怀度与生活质量的关系以及自我效能感和自我管理能力在其中的链式中介作用。方法2020年7-11月,便利抽样选取郑州市郊县某自然村530名农村老年冠心病患者,采用健康状况调查简表、家庭关怀度指数问卷、冠心病自我效能感量表和冠心病自我管理行为量表对其进行调查,并建立结构方程模型。结果农村老年冠心病患者的家庭关怀度、自我效能感、自我管理能力和生活质量得分分别为(4.25±1.05)分、(32.15±11.28)分、(54.64±15.08)分和(55.38±10.65)分;且相互间呈两两正相关(r为0.489~0.935.均P<0.01);家庭关怀度可正向预测生活质量(β=0.319,P<0.01);家庭关怀度通过自我效能感.自我管理能力对生活质量的中介效应显著(均P<0.01);自我效能感及自我管理能力在农村老年冠心病患者的家庭关怀度与生活质量之间发挥链式中介作用(β=0.150,P<0.01)。结论提高农村老年冠心病患者的家庭关怀度,增强自我效能感和自我管理能力,对改善其生活质量有重要意义。Objective To explore the relationship between family care and quality of life(QOL),and the chain mediating roles of self-efficacy and self-management ability in elderly patients with coronary heart disease(CHD) in rural areas.Methods By the convenience sampling method, 530 elderly patients with CHD in rural areas from July to November 2020 were selected and investigated through the SF-36,the Family Care Index questionnaire, Cardiac Self-Efficacy Scale and Coronary Artery Disease Self-Management Scale;then, the structural equation model was established.Results The scores of family care, self-efficacy, self-management ability and QOL of elderly patients with CHD in rural areas were 4.25±1.05,32.15±11.28,54.64±15.08,and 55.38±10.65.There were significant correlations between each other among them(r=0.489 to 0.935,all P<0.01).Family care was significantly and positively predicted the QOL of elderly patients with CHD in rural areas(β=0.319,P<0.01). The mediating effects of family care on quality of life through self-management ability and self-efficacy were significant(all P<0.01).The self-efficacy and self-management ability played a chain mediating role between family care and QOL(β=0.150,P<0.01).Conclusions It is of great significance to improve the quality of life in rural elderly patients with coronary heart disease by improving their family care, self-efficacy, and self-management ability.

关 键 词：农村 老年冠心病患者 家庭关怀 生活质量 自我效能感 自我管理 

分 类 号：R473.54[医药卫生—护理学]