自我效能在骨质疏松症患者骨质疏松知识与自我管理行为间的中介效应及健康素养的调节效应  

The mediating effect of self-efficacy between disease-related knowledge and self-management behavior in patients with osteoporosis and the regulatory effect of health literacy

作　　者：于博洋 覃素娇[2] 谈佳[2] 黄冬清 YU Boyang;QIN Sujiao;TAN Jia;HUANG Dongqing(Graduate School of Youjiang Medical College for Nationalities,Bai Se 533000,China;People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,China)

机构地区：[1]右江民族医学院研究生院,广西百色533000 [2]广西壮族自治区人民医院,广西南宁530000

出　　处：《临床医药实践》2023年第2期138-142,共5页Proceeding of Clinical Medicine

基　　金：广西医疗卫生适宜技术开发与推广应用项目(项目编号:S2018034)。

摘　　要：目的:探讨自我效能对骨质疏松症患者骨质疏松知识和自我管理行为的中介效应及健康素养的调节效应。方法:采用骨质疏松症患者一般资料调查表、自我效能表、骨质疏松症知识量表、慢性病自我管理量表、健康素养量表对广西壮族自治区某三甲医院316例骨质疏松症患者进行调查。结果:骨质疏松知识与自我效能、自我管理行为及健康素养均呈正相关(P<0.001);健康素养与自我效能及自我管理行为呈正相关(P<0.001);自我效能与自我管理行为呈正相关(P<0.001)。骨质疏松知识对自我管理行为的直接作用显著(P<0.001);自我效能在骨质疏松知识与自我管理行为间发挥部分中介作用,占总效应的64%。健康素养水平较高时,骨质疏松知识对自我效能有正向预测作用(P<0.001),且自我效能得分对自我管理行为也有正向预测作用(P<0.001)。结论:骨质疏松症患者的骨质疏松知识不仅直接作用于自我管理行为,还可以通过自我效能的中介作用间接影响自我管理行为,且这一过程受健康素养的调节。Objective:To explore the mediating effect of self-efficacy on disease-related knowledge and self-management behavior of patients with osteoporosis and the regulatory effect of health literacy.Methods:All 316 patients with osteoporosis in a third class hospital of Guangxi Zhuang Autonomous Region were investigated by using the general information questionnaire of patients with osteoporosis,self-efficacy scale,osteoporosis knowledge scale,chronic disease self-management scale and health literacy scale.Results:Disease related knowledge was positively correlated with self-efficacy,self-management behavior and health literacy(P<0.001).Health literacy was positively correlated with self-efficacy and self-management behavior(P<0.001).There was a positive correlation between self-efficacy and self-management behavior(P<0.001).The direct effect of disease-related knowledge on self-management behavior was significant(P<0.001).Self-efficacy played a partial intermediary role between disease-related knowledge and self-management behavior,accounting for 64%of the total effect.When the level of health literacy was high,disease-related knowledge had a positive predictive effect on self-efficacy(P<0.001),and self-efficacy score also had a positive predictive effect on self-management behavior(P<0.001).Conclusion:Disease related knowledge of patients with osteoporosis not only directly affects self-management behavior,but also indirectly affects self-management behavior through the intermediary of self-efficacy,and this process is regulated by health literacy.

关 键 词：骨质疏松 自我效能 健康素养 自我管理行为 中介效应 调节效应 

分 类 号：R68[医药卫生—骨科学]