中国临床心理学杂志

心力衰竭患者自我护理信心在领悟社会支持与自我护理行为间的中介作用

作者：刘莉王秀华曹希杨琛欧阳煜

单位：1. 中南大学湘雅护理学院长沙 410013 2. 香港中文大学那打素护理学院香港 999077

分类号：R395.6

出版年,卷(期):页码：2017,25(4):734-738

摘要：

目的：探讨心力衰竭患者领悟社会支持与自我护理行为之间的关系，以及自我护理信心在领悟社会支持与自我护理行为关系间的中介作用。方法：采用方便取样，抽取127名在心内科住院治疗的心力衰竭患者，采用心力衰竭自我护理指数量表（SCHFI）和中文版医疗社会支持量表（MOS-SSS-C）进行调查。结果：①心力衰竭患者领悟社会支持的各因子与自我护理维持及自我护理管理均呈正相关（均P<0.05）；②自我护理信心分别在实际的支持、情感的支持、正性的社会互动、信息及情绪的支持对自我护理维持的影响中发挥着完全中介作用；③自我护理信心分别在实际的支持、情感的支持、正性的社会互动、信息及情绪的支持对自我护理管理的影响中发挥着完全中介作用。结论：自我护理信心在心力衰竭患者领悟社会支持和自我护理行为之间起完全中介作用。

Objective: To explore the association between perceived social support and self-care behaviors and whether self-care confidence mediates the relationship between perceived social support and self-care behaviors in heart failure patients. Methods: One hundred and twenty-seven inpatients with heart failure selected from the department of cardiology completed the self-care of heart failure index(V6) and Chinese Mandarin version of the Medical Outcomes Study Social Support Survey(MOS-SSS-C). Results: ①Affectionate support, tangible support, positive social interaction support and emotional/informational support were significantly related with self-care maintenance(P<0.05) and self-care management(P<0.05). ②Self-care confidence fully mediated the relationship between affectionate support, tangible support, positive social interaction support, emotional/informational support and self-care maintenance. ③Self-care confidence fully mediated the relationship between affectionate support, tangible support, positive social interaction support, emotional/informational support and self-care management. Conclusion: Perceived social support may indirectly influence self-care behaviors through self-care confidence in patients with heart failure.

基金项目：

湖南省科技计划课题（编号：2015SK20102）基金资助；中南大学研究生自主探索创新项目（2017zzts876）支持

作者简介：

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