社会支持在慢性乙型肝炎患者病耻感与自我管理行为之间的中介作用  

Mediating Effect of Social Support Between Stigma and Self-management Among Patients with Chronic Hepatitis B

作　　者：黄海燕 李云峰[1] 张灿玲[1] 王娜 孙延菊[1] Huang Haiyan;Li Yunfeng;Zhang Canling(The First Affiliated Hospital of Shandong First Medical University,Jinan Shandong 250014,China)

机构地区：[1]山东第一医科大学第一附属医院山东省千佛山医院,山东济南250014

出　　处：《齐鲁护理杂志》2021年第15期10-13,共4页Journal of Qilu Nursing

摘　　要：目的:探讨慢性乙型肝炎(CHB)患者病耻感对自我管理行为的影响,社会支持在病耻感和自我管理行为之间的中介效应,为提高患者的生活质量提供理论依据。方法:采用一般情况调查表、慢性乙肝病毒感染者歧视测量量表、社会支持评定量表(SSRS)、慢性乙肝患者自我管理量表对240例CHB患者进行调查。结果:本组患者病耻感、自我管理行为、社会支持得分分别为(74.430±19.157)分、(89.900±20.536)分、(35.230±10.872)分,病耻感与社会支持、自我管理行为均呈负相关(P<0.05),社会支持与自我管理行为呈正相关(P<0.05);社会支持在病耻感对自我管理行为影响中的作用为部分中介,效应占比为35.909%。结论:CHB患者病耻感水平普遍偏高,自我管理行为能力低于健康人群。社会支持在CHB患者的病耻感与自我管理行为之间起部分中介作用,医务人员可考虑针对性干预,以提高患者的自我管理行为、降低病耻感。Objective:To explore the influence of stigma of chronic hepatitis B patients on self-management behavior,and the mediating effect of social support between stigma and self-management behavior,and provide theoretical basis for improving the quality of life of patients.Methods:Totally 240 chronic hepatitis B patients were investigated with the general information questionnaire,the chronic hepatitis B virus infection discrimination scale,Social Support Rating Scale(SSRS),and self-management scale for patients with chronic hepatitis B.Results:Stigma,self-management behavior,social support scores of patients with chronic hepatitis B were(74.430±19.157),(89.900±20.536),and(35.230±10.872)points,stigma was negatively correlated with social support and self-management behavior,social support was positively correlated with self-management behavior(P<0.05).Social support played a part in the influence of stigma on self-management behavior Intermediary,the effect ratio was 35.909%.Conclusions:Chronic hepatitis B patients generally have a high level of stigma,and their self-management ability is lower than that of healthy people.Social support plays a partial mediating role between the stigma of chronic hepatitis B patients and self-management behavior.Medical staff can consider targeted interventions to improve patients′self-management behavior and reduce stigma.

关 键 词：慢性乙型肝炎 病耻感 社会支持 自我管理行为 

分 类 号：R473.51[医药卫生—护理学]