慢性病自我效能在糖尿病患者心理弹性与医学应对方式间的中介效应  

Mediating effect of chronic disease self-efficacy in psychological resilience and medical coping style of diabetes patients

作　　者：李青 徐婉清 张锦云[1] LI Qing;XU Wanqing;ZHANG Jinyun(Department of Internal Medicine,Affiliated Maternity and Child Health Care Hospital of Nantong University,Jiangsu Province,Nantong226018,China;Medical School,Nantong University,Jiangsu Province,Nantong226001,China)

机构地区：[1]南通大学附属南通妇幼保健院内科,江苏南通226018 [2]南通大学医学院,江苏南通226001

出　　处：《中国医药导报》2024年第16期36-38,共3页China Medical Herald

基　　金：江苏省高校哲学社会科学研究项目(JKFXFK-001)。

摘　　要：目的探讨慢性病自我效能在糖尿病患者心理弹性与医学应对方式间的中介效应。方法选取2021年10月至2022年11月于南通大学附属南通妇幼保健院内科首次就诊的110例糖尿病患者为研究对象。采用一般资料调查表、慢性病自我效能量表、心理弹性量表和医学应对方式问卷进行系统调查。采用结构方程模型检验变量间中介效应。结果慢性病自我效能与心理弹性呈正相关(P<0.05),心理弹性与医学应对方式呈正相关(P<0.05),慢性病自我效能与医学应对方式呈正相关(P<0.05),为完全中介效应模型。中介效应对总效应贡献率为92.09%。结论慢性病自我效能可通过医学应对方式间接影响糖尿病患者的心理弹性水平,需着重于心理建设和疏导,提升医学应对方式,强化日常自我维护意识。Objective To explore mediating effect of chronic disease self-efficacy in psychological resilience and medical coping style of diabetes patients.Methods A total of 110 patients with diabetes who first visited Department of Internal Medicine,Affiliated Maternity and Child Health Care Hospital of Nantong University from October 2021 to November 2022 were selected as research subjects.A systematic survey was conducted by using general information questionnaire,chronic disease self-efficacy scale,mental resilience scale,and medical coping style questionnaire.Mediating effect between variables was tested by using structural equation model.Results Chronic disease self-efficacy was positively correlated with psychological resilience(P<0.05),psychological resilience was positively correlated with medical coping style(P<0.05),and chronic disease self-efficacy was positively correlated with medical coping style(P<0.05).It was a fully mediating effect model.Contribution rate of intermediary effect to total effect was 92.09%.Conclusion Chronic disease self-efficacy can indirectly affect psychological resilience level of diabetes patients through medical coping style.It is necessary to focus on psychological construction and counseling,improve medical coping style,and strengthen awareness of daily self maintenance.

关 键 词：糖尿病 慢性病自我效能 心理弹性 医学应对方式 

分 类 号：R587.1[医药卫生—内分泌]