自我效能感在女性压力性尿失禁患者中社会支持与应对方式之间的中介效应分析  

Analysis of the mediating effect of self-efficacy between social support and coping styles in female patients with stress urinary incontinence

作　　者：周萍[1] 蒋清群 胡志谦[1] ZHOU Ping;JIANG Qing-qun;HU Zhi-qian(Urology Center,People’s Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院泌尿中心,新疆乌鲁木齐830001

出　　处：《现代预防医学》2025年第3期460-464,共5页Modern Preventive Medicine

基　　金：新疆维吾尔自治区自然科学基金项目(2023D01C82)。

摘　　要：目的探讨自我效能感在女性压力性尿失禁(SUI)患者中社会支持与应对方式之间的中介作用,为临床干预提供参考依据。方法选取2022年1月—2024年1月期间新疆维吾尔自治区人民医院收治的128例女性SUI患者。通过自行设计的问卷调查收集一般资料;采用领悟社会支持量表(PSSS)评估患者社会支持度,使用一般自我效能感量表(GSES)评定患者自我效能感,采用简易应对方式问卷(SCSQ)评估患者应对方式,使用相关性分析和结构方程模型分析自我效能感的中介效应。结果年龄≤60岁患者的GSES评分、积极SCSQ评分、PSSS评分总分及三个分量表评分均高于年龄>60岁患者,消极SCSQ评分低于年龄>60岁患者(P<0.05)。相关性分析结果显示,年龄≤60岁患者GSES评分与PSSS评分、积极SCSQ评分均呈正相关,与消极SCSQ评分则均呈负相关;年龄>60岁患者GSES评分与PSSS评分、积极SCSQ评分均呈正相关,与消极SCSQ评分则均呈负相关(r=-0.601,P<0.05);年龄≤60岁患者PSSS评分与积极SCSQ评分均呈正相关(r=0.650,P<0.05),与消极SCSQ评分均呈负相关;年龄>60岁患者PSSS评分与积极SCSQ评分均呈正相关,与消极SCSQ评分均呈负相关。通过Amos 24.0最大似然估计法构建中介模型显示,年龄≤60岁和>60岁患者的自我效能感对积极应对方式均有正向作用,效应值分别为0.62和0.56,对消极应对方式均有负向作用,效应值分别为-0.50和-0.45;年龄≤60岁和>60岁患者社会支持对自我效能感均有正相作用,效应值分别为0.59和0.65;年龄≤60岁和>60岁患者积极应对方式对社会支持均有正向作用,效应值分别为0.57和0.60,消极应对方式对社会支持均有负向作用,效应值分别为-0.40和-0.51。结论自我效能感在女性SUI患者的社会支持与应对方式之间发挥中介作用,且年龄对患者的自我效能感及应对方式有显著影响。提高患者的社会支持和自我效能感可促进其采用积极Objective To explore the mediating role of self-efficacy between social support and coping styles in female patients with stress urinary incontinence(SUI)and to provide a reference for clinical interventions.Methods A total of 128 female SUI patients admitted to the People’s Hospital of Xinjiang Uygur Autonomous Region from January 2022 to January 2024 were selected.General information was collected using a self-designed questionnaire.The Perceived Social Support Scale(PSSS)was used to assess social support,the General Self-Efficacy Scale(GSES)to evaluate self-efficacy,and the Simplified Coping Style Questionnaire(SCSQ)to measure coping styles.Correlation analysis and structural equation modeling were employed to analyze the mediating effect of self-efficacy.Results Patients aged≤60 years had higher GSES scores,positive SCSQ scores,total PSSS scores,and scores on its three subscales compared to those aged>60 years,while their negative SCSQ scores were lower(P<0.05).Correlation analysis revealed that GSES scores were positively correlated with PSSS scores and positive SCSQ scores but negatively correlated with negative SCSQ scores in both age groups(r=-0.601,P<0.05).PSSS scores were positively correlated with positive SCSQ scores(r=0.650,P<0.05)and negatively correlated with negative SCSQ scores in both age groups.The Amos 24.0 maximum likelihood estimation method was used to construct a mediation model,showing that self-efficacy had a positive effect on positive coping styles(effect values:0.62 and 0.56 for≤60 and>60 years,respectively)and a negative effect on negative coping styles(effect values:-0.50 and-0.45,respectively).Social support positively influenced self-efficacy(effect values:0.59 and 0.65,respectively),while positive coping styles positively influenced social support(effect values:0.57 and 0.60,respectively),and negative coping styles negatively influenced social support(effect values:-0.40 and-0.51,respectively).Conclusion Self-efficacy mediates the relationship between social support and cop

关 键 词：压力性尿失禁 自我效能感 社会支持 应对方式 中介效应 

分 类 号：R694.54[医药卫生—泌尿科学]