摘要
目的 探讨自我效能和家庭支持在经外周静脉置入中心静脉导管(PICC)患者疾病恐惧与护理依从性的中介效应。方法 纳入2020年3月至2022年1月我院收治的PICC患者216例,采用一般资料量表、自我效能量表,家庭支持量表,疾病恐惧及护理依从性评估患者自我效能、家庭支持、疾病恐惧、护理依从性水平。采用Spearman相关系数分析自我效能、家庭支持水平与PICC患者疾病恐惧、护理依从性的相关性;使用SPSS软件Process插件分析自我效能和家庭支持在PICC患者疾病恐惧与护理依从性的中介效应。结果 Spearman相关性分析示PICC患者自我效能量表(GSES)评分与恐惧疾病进展简化量表(FoP-Q-SF)、护理依从性评分呈负相关(P<0.05),家庭支持问卷(FSQ)水平与PICC患者FoP-Q-SF、护理依从性评分呈负相关(P<0.05);中介效应分析显示自我效能、家庭支持在PICC患者疾病恐惧与护理依从性间发挥部分中介效应作用,且自我效能在PICC患者疾病恐惧与护理依从性间的中介效应为43.87%,家庭支持水平的中介效应为44.91%。结论 自我效能和家庭支持在PICC患者疾病与护理依从性中发挥部分中介效应。
Objective To investigate the mediating effect of self-efficacy and family support in fear of disease and nursing compliance of patients with peripherally inserted central venouscatheters(PICC).Methods A total of 216 PICC patients in our hospital from March 2020 to January 2022 were included. General information scale, general self-efficacy scale(GSES), family support scale(family support question, FSQ), fear of illness(Fear of Progression Questionnaire Short Form, FoP-Q-SF) and nursing compliance were used to evaluate patients′ self-efficacy, family support, fear of illness, level of care adherence. Spearman correlation coefficient analysis was used to analyze the correlation between the self-efficacy and family support level and the fear of disease and nursing compliance in the PICC patients. SPSS software Process plug-in was used to analyze the mediating effect of the self-efficacy and family support inthe fear of disease and nursing compliance in the PICC patients.Results Spearman correlation analysis showed that the GSES score of the PICC patients was negatively correlated withFoP-Q-SF and nursing compliance score(P<0.05), and the FSQ level was negatively correlated with FoP-Q-SF and nursing compliance score of the PICC patients(P<0.05). The mediating effect analysis showed that self-efficacy and family support played a partial mediating role between fear of illness and nursing compliance in the PICC patients. It also showed that the mediating effect of self-efficacy between fear of illness and nursing compliance in the PICC patients was 43.87 %, and family support level between fear of illness and nursing compliance in the PICC patients was 44.91%.Conclusions Self-efficacy and family support play a partial mediating effect infear of disease and nursing compliance in PICC patients.
作者
樊瑞
景鹏宇
郅晓燕
FAN Rui;JING Peng-yu;ZHI Xiao-yan(Department of Thoracic Surgery,Tangdu Hospital,Air Force Military Medical University,Xi'an 710000,China)
出处
《实用医院临床杂志》
2023年第1期96-99,共4页
Practical Journal of Clinical Medicine
基金
国家自然科学基金资助项目(编号:82002422)。
关键词
外周静脉置入中心静脉导管
自我效能
家庭支持
疾病恐惧
护理依从性
Peripherally inserted central venous catheters
Self-efficacy
Family support
Fear of illness
Nursing compliance
