[1]张宏晨,王艳红,唐楠,等.自我效能感和自我管理能力在农村老年冠心病患者家庭关怀度与生活质量间的中介作用[J].解放军护理杂志,2021,38(05):13-16.[doi:10.3969/j.issn.1008-9993.2021.05.004]
　ZHANG Hongchen,WANG Yanhong,TANG Nan,et al.Mediation Effect of Self-Efficacy and Self-Management Ability between Family Care and Quality of life in Elderly Patients with Coronary Heart Disease from Rural Areas[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(05):13-16.[doi:10.3969/j.issn.1008-9993.2021.05.004]
点击复制

自我效能感和自我管理能力在农村老年冠心病患者家庭关怀度与生活质量间的中介作用()
分享到：

《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年05期
页码:
13-16
栏目:
论著
出版日期:
2021-05-15

文章信息/Info

Title:
Mediation Effect of Self-Efficacy and Self-Management Ability between Family Care and Quality of life in Elderly Patients with Coronary Heart Disease from Rural Areas
文章编号:
1008-9993(2021)05-0013-04
作者:
张宏晨1; 王艳红1; 唐楠1; 梁雪萍1; 王芳2; 闫兰兰1; 杨彦伟3
1.兰州大学 护理学院,甘肃 兰州 730030; 2.甘肃省卫生健康委员会 卫生应急办公室,甘肃 兰州 730030; 3.中国人民解放军联勤保障部队第940医院 口腔科,甘肃 兰州 730050
Author(s):
ZHANG Hongchen1; WANG Yanhong1; TANG Nan1; LIANG Xueping1; WANG Fang2; YAN Lanlan1; YANG Yanwei3
1.School of Nursing,Lanzhou University,Lanzhou 730030,Gansu Province,China; 2.Health emergency office,Health Commission of Gansu Province,Lanzhou 730030,Gansu Province,China; 3.Department of Stomatology,The 940th Hospital of Joint Logistic Support Force of the Chinese People’s Liberation Army,Lanzhou 730030,Gansu Province,China
关键词:
农村;  老年冠心病患者;  家庭关怀;  生活质量;  自我效能感;  自我管理
Keywords:
Rural areas;  elderly patients with coronary heart disease;  family care;  quality of life;  self-efficacy;  self-management
分类号:
R473.54
DOI:
10.3969/j.issn.1008-9993.2021.05.004
文献标志码:
A
摘要:
目的 探讨农村老年冠心病患者的家庭关怀度与生活质量的关系以及自我效能感和自我管理能力在其中的链式中介作用。方法 2020年7-11月,便利抽样选取郑州市郊县某自然村530名农村老年冠心病患者,采用健康状况调查简表、家庭关怀度指数问卷、冠心病自我效能感量表和冠心病自我管理行为量表对其进行调查,并建立结构方程模型。结果 农村老年冠心病患者的家庭关怀度、自我效能感、自我管理能力和生活质量得分分别为(4.25±1.05)分、(32.15±11.28)分、(54.64±15.08)分和(55.38±10.65)分; 且相互间呈两两正相关(r为0.489～0.935,均P<0.01); 家庭关怀度可正向预测生活质量(β=0.319,P<0.01); 家庭关怀度通过自我效能感、自我管理能力对生活质量的中介效应显著(均P<0.01); 自我效能感及自我管理能力在农村老年冠心病患者的家庭关怀度与生活质量之间发挥链式中介作用(β=0.150,P<0.01)。结论 提高农村老年冠心病患者的家庭关怀度,增强自我效能感和自我管理能力,对改善其生活质量有重要意义。
Abstract:
Objective To explore the relationship between family care and quality of life(QOL),and the chain mediating roles of self-efficacy and self-management ability in elderly patients with coronary heart disease(CHD)in rural areas.Methods By the convenience sampling method,530 elderly patients with CHD in rural areas from July to November 2020 were selected and investigated through the SF-36,the Family Care Index questionnaire,Cardiac Self-Efficacy Scale and Coronary Artery Disease Self-Management Scale; then,the structural equation model was established.Results The scores of family care,self-efficacy,self-management ability and QOL of elderly patients with CHD in rural areas were 4.25±1.05,32.15±11.28,54.64±15.08,and 55.38±10.65.There were significant correlations between each other among them(r=0.489 to 0.935,all P<0.01).Family care was significantly and positively predicted the QOL of elderly patients with CHD in rural areas(β=0.319,P<0.01). The mediating effects of family care on quality of life through self-management ability and self-efficacy were significant(all P<0.01).The self-efficacy and self-management ability played a chain mediating role between family care and QOL(β=0.150,P<0.01).Conclusions It is of great significance to improve the quality of life in rural elderly patients with coronary heart disease by improving their family care,self-efficacy,and self-management ability.

参考文献/References:

[1] 国家统计局.中国统计年鉴 2019[EB/OL].[2020-12-28].http://www.stats.gov.cn/tjsj/ndsj/2019/indexch.htm.
[2] 胡盛寿,高润霖,刘力生,等.《中国心血管病报告2018》概要[J].中国循环杂志,2019,34(3):209-220.
[3] 徐洁,李树茁,吴正,等.农村老年人家庭养老脆弱性评估——基于安徽农村地区的实证研究[J].人口研究,2019,43(1):91-101.
[4] 张宏晨,崔艳,郭明贤.住院冠状动脉性心脏病患者家庭功能的现状及其影响因素[J].解放军护理杂志,2012,29(13):27-29.
[5] WILLIS E.Patients’ self-efficacy within online health communities:facilitating chronic disease self-management behaviors through peer education [J].Health Commun,2016,31(3):299-307.
[6] WEST R,GODINHO C A,BOHLEN L C,et al.Development of a formal system for representing behaviour-change theories [J].Nature human beha,2019,3(5):526-536.
[7] PELTZER S,HELLSTERN M,GENSKE A,et al.Health literacy in persons at risk of and patients with coronary heart disease:a systematic review [J].Soc Sci Med,2019,245(2):112711.
[8] SMILKSTEIN G.The family APGAR:a proposal for a family function test and its use by physicians[J].J Family Pract,1978,6(6):1231-1239.
[9] SULLIVAN M D,LACROIX A Z,RUSSO J,et al.Self-efficacy and self-reported functional status in coronary heart disease: a six-month prospective study[J].Psychosom Med,1998,60(4):473-478.
[10]任洪艳.冠心病自我管理量表开发及健康教育研究[D].重庆:重庆医科大学,2009.
[11]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[12]张强,张玮.社会力量参与社区老年人健康服务的机制[J].中国老年学杂志,2019,39(18):76-78.
[13]刘梅.徐州市农村留守老年人生存现状及其社会支持状况[J].中国老年学杂志,2017,12(36):3016-3018.
[14]常晓晓.社区老年冠心病患者生活质量及影响因素研究[D].太原:山西医科大学,2008.
[15]艾聪,李娟,张珊姗,等.辽宁农村地区2009-2015年冠心病死亡趋势及早死所致疾病负担研究[J].中华疾病控制杂志,2018,22(11):1106-1109.
[16]刘润麟,李新辉,范晶晶,等.新疆农村居民健康素养与健康信息主动获取行为的关系研究[J].中国卫生事业管理,2019,36(12):934-937.
[17]李月.中国农村空巢老人心理健康状况及影响因素分析[J].中国公共卫生,2021,37(2): 333-336.
[18]BANIK A,SCHWARZER R,KNOLL N,et al. Self-efficacy and quality of life among people with cardiovascular diseases:a meta-analysis [J]. Rehabil Psychol,2018,63(2): 295-312.
[19]THAREK Z,RAMLI A S,WHITFORD D L,et al. Relationship between self-efficacy,self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting[J]. BMC Family Pract,2018,19(1):39-40.

相似文献/References:

[1]彭心雨,张婉,夏青,等.孝顺期待在农村老年人自我养老能力与优逝期望间的中介效应[J].解放军护理杂志,2022,39(07):25.[doi:10.3969/j.issn.2097-1826.2022.07.007]
　PENG Xinyu,ZHANG Wan,XIA Qing,et al.Mediating Effect of Filial Piety Expectation Between Self-Care Ability and Good Death Expectation Among Rural Elderly[J].Nursing Journal Of Chinese People’s Laberation Army,2022,39(05):25.[doi:10.3969/j.issn.2097-1826.2022.07.007]

备注/Memo

备注/Memo:
【 收稿日期 】 2021-01-02 【 修回日期 】 2021-03-30
【 基金项目 】 甘肃省卫生健康行业科研计划项目(GSWSKY 2020-02)
【 作者简介 】 张宏晨,博士在读,讲师,研究方向为慢性病健康管理
【 通讯作者 】 杨彦伟,电话:0931-8994810
更新日期/Last Update: 2021-05-15