自我效能对炎症性肠病患者家庭韧性与心理弹性的中介效应分析  

Mediating effect of self-efficacy between family resilience and psychological resilience in inflammatory bowel disease patients

作　　者：赵豫鄂 何细飞[1] 朱秀琴[1] 陈帆[1] 郭巧珍[1] Yu-E Zhao;Xi-Fei He;Xiu-Qin Zhu;Fan Chen;Qiao-Zhen Guo(Nursing Department of Tongji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000,Hubei Province,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北省武汉市430000

出　　处：《世界华人消化杂志》2025年第3期207-214,共8页World Chinese Journal of Digestology

基　　金：2019年同济医院科研基金,No.2019D10.

摘　　要：背景炎症性肠病(inflammatory bowel disease,IBD)患者由于疾病原因导致诸多负面情绪.心理弹性作为个体从逆境中恢复或成功应对的能力,可帮助患者.在外界多因素可促进心理弹性发成长这一假设下,本研究借助中介效应分析,探索提升心理弹性的外界因素.目的探讨IBD患者自我效能在家庭韧性与心理弹性中的中介作用.方法采用便利抽样的方法选取于2021-01/2021-06在武汉市同济医院消化内科住院的130例IBD患者为研究对象,采用家庭韧性量表、炎症性肠病自我效能量表、心理弹性量表对患者进行调查,并对数据进行相关和回归分析,采用温忠麟等提出的检验中介效应程序进行中介效应检验.结果IBD患者家庭韧性水平与自我效能(r=0.176,P<0.05)、心理弹性(r=0.359,P<0.01)呈正相关;自我效能与心理弹性呈正相关(r=0.693,P<0.01).自我效能在家庭韧性和心理弹性之间存在部分中介作用,中介效应贡献率为42.32%.结论IBD患者心理弹性水平处于偏低水平;自我效能在家庭韧性水平和心理弹性之间起部分中介作用,护理工作者可通过提升家庭韧性以及患者自我效能,从而改善其心理弹性.BACKGROUND Patients with inflammatory bowel disease(IBD)often experience various negative emotions.Psychological resilience,as an individual’s ability to recover from adversity or successfully cope,can help him/her to fight against diseases.Under the hypothesis that multiple external factors can promote the growth of psychological resilience,this study used mediation analysis to explore the external factors that enhance psychological resilience in IBD patients.AIM To explore the mediating effect of self-efficacy in patients with IBD on family resilience and psychological resilience.METHODS One hundred and thirty IBD patients hospitalized in the Department of Gastroenterology,Tongji Hospital,Wuhan City from January 2021 to June 2021 were selected as questionnaire respondents by convenient sampling.The patients were investigated by using the family resilience index(FHI),the IBD self-efficacy scale(IBD-SES),and the Connor Davidson Resilience Scale(CD-RISC).The data were analyzed by correlation and regression analyses,and the mediating effect of self-efficacy was tested by the intermediary effect test program proposed by Wen Zhonglin,etc.RESULTS The family resilience of IBD patients was positively correlated with self-efficacy(r=0.176,P<0.05)and psychological resilience(r=0.359,P<0.01).There was a positive correlation between self-efficacy and resilience(r=0.693,P<0.01).Self-efficacy has a certain mediating effect between family resilience and psychological resilience,and the contribution rate of this mediating effect is 42.32%.CONCLUSION The resilience of IBD patients is at a low level.Self-efficacy plays an intermediary role between family resilience and psychological resilience.Nursing workers can improve patients’psychological resilience by improving their self-efficacy and family resilience.

关 键 词：家庭韧性 自我效能 心理弹性 炎症性肠病 IBD 中介效应分析 

分 类 号：R57[医药卫生—消化系统]