摘要
目的:探究艾滋病患者生存质量对心理痛楚的影响,以及自我效能的中介作用和社会支持的调节作用。方法:分别采用世界卫生组织艾滋病专用生存质量调查简表、心理痛楚感量表、一般自我效能感量表、社会支持评定量表对172例艾滋病患者进行问卷调查。结果:艾滋病患者的生存质量对其心理痛楚具有显著的负向预测作用(β=-0.356,SE=0.071,P<0.001);自我效能在生存质量与心理痛楚之间发挥部分中介作用(β=-0.145,SE=0.041,95%CI:-0.231~-0.071),中介效应占总效应的比例为28.94%;高水平的社会支持在生存质量与自我效能之间存在调节作用。结论:艾滋病患者的生存质量与心理痛楚之间存在一个有调节作用的中介模型自我效能,生存质量可通过自我效能对心理痛楚发挥作用,且生存质量对自我效能的影响受到社会支持水平的调节。
Objective: To explore the impact of quality of life on psychological distress in patients with HIV, as well as the mediating role of self-efficacy and the moderating role of social support. Methods: The World Health Organization(WHO) quality of life questionnaire for HIV brief version(WHOQOL-HIV BREF), Psychache Scale(PAS), General Self-Efficacy Scale(GSES), and Social Support Revalued Scale(SSRS) were used to survey 172 Aids patients, respectively. Results: The quality of life of HIV patients had a great negative predictive effect on their psychological distress(β=-0.356,SE=0.071,P<0.001), self-efficacy played a partial mediating role between quality of life and psychological distress(β=-0.145,SE=0.041,95% CI:-0.231~-0.071), and the mediating effect accounted for 28.94% of the total effect. And high level of social support had a moderating effect on quality of life and self-efficacy. Conclusion: A moderated mediating model exists between quality of life and psychological distress in patients with HIV, whereby quality of life can exert its effect on psychological distress through its self-efficacy, and the effect of quality of life on self-efficacy is modulated by the level of social support.
作者
罗隽
黄钰珉
吴丹青
王海露
潘右南
Luo Jun;Huang Yumin;Wu Danqing;Wang Hailu;Pan Younan(Sleep Disorder Ward of Nanning Fifth People's Hospital,Nanning 530001,China)
出处
《广西医科大学学报》
CAS
2023年第1期33-38,共6页
Journal of Guangxi Medical University
关键词
艾滋病
生存质量
心理痛楚
自我效能
社会支持
Aids
quality of life
psychological distress
self-efficacy
social support
