自我效能在肝移植受者社会支持与心理弹性间的中介效应

doi:10.3761/j.issn.1672-9234.2021.02.016

摘要/Abstract

摘要：

目的探讨肝移植受者自我效能、社会支持与心理弹性的关系,为提高其心理弹性水平提供依据。方法采用一般自我效能感量表、心理弹性量表、社会支持评定量表对某医院器官移植中心162例肝移植受者进行问卷调查。结果肝移植受者心理弹性得分为（65.28±16.57）分,社会支持得分为（42.01±8.11）分,自我效能得分为（2.66±0.64）分;肝移植受者社会支持得分与心理弹性得分呈正相关（r=0.446,P<0.01）,自我效能得分与心理弹性得分呈正相关（r=0.678,P<0.01）;自我效能在社会支持与心理弹性间起部分中介作用,中介效应占总效应的55.85%。结论肝移植受者心理弹性处于中等水平,社会支持处于较低水平,而社会支持和自我效能感是心理弹性水平的正向预测因子;社会支持可直接或通过自我效能间接地对肝移植受者心理弹性产生影响,临床医护人员应采取有效措施提升患者社会支持度和自我效能感,从而改善肝移植受者心理弹性水平。

关键词: 肝移植, 社会支持, 自我效验, 心理弹性, 中介效应

Abstract:

Objective To investigate the relationship between social support,self-efficacy and psychological resilience in liver transplantation recipients. Methods A total of 162 liver transplant recipients in our organ transplant center were investigated with General Self-Efficacy Scale（GSES）,Connor-Davidson Resilience Scale（CD-RISC）and Social Support Rating Scale（SSRS）. Results The scores of CD-RISC,SSRS and GSES were（65.28±16.57）,（42.01±8.11）and（2.66±0.64）respectively. The score of CD-RISC is positively correlated with SSRS（r=0.446,P<0.01） and GSES（r=0.678,P<0.01）. Self-efficacy plays a partial mediating role between social support and psychological resilience,with the mediating effect accounting for 55.85% of the total effect. Conclusion The psychological resilience of liver transplantation recipients were in the middle level while social support in the lower level,and social support and self-efficacy were positive predictors of psychological resilience. Social support can directly or indirectly affect the mental resilience of liver transplant recipients through self-efficacy. Clinical medical staff should take effective measures to improve the social support and self-efficacy level of liver transplant recipients,so as to improve their psychological resilience

Key words: Liver Transplantation, Social Support, Self Efficacy, Psychological resilience, Mediating effect

郭利敏,李乐之,卢彦芳,文莎丽. 自我效能在肝移植受者社会支持与心理弹性间的中介效应[J]. 中华护理教育, 2021, 18(2): 173-177.

GUO Li-min,LI Le-zhi,LU Yan-fang,WEN Sha-li. The mediating effect of self-efficacy on the relationship between social support and psychological resilience in liver transplant recipients[J]. Chinese Journal of Nursing Education, 2021, 18(2): 173-177.

图/表 3

参考文献 19

[1]	赵东, 夏强. 肝移植相关领域的研究进展[J]. 国际消化病杂志, 2020,40(2):71-74.
	Zhao D, Xia Q. Research progress in related fields of liver transplantation[J]. Int J Dig Dis, 2020,40(2):71-74.
[2]	Min JA, Yoon S, Lee CU, et al. Psychological resilience contri-butes to low emotional distress in cancer patients[J]. Support Care Cancer, 2013,21(9):2469-2476. doi: 10.1007/s00520-013-1807-6
[3]	乔华, 李钰. 肝移植术后患者依从性、生存质量与心理弹性的相关性分析[J]. 中华现代护理杂志, 2016,22(17):2399-2403.
	Qiao H, Li Y. Correlation analysis between resilience and compliance,quality of life in patients after liver transplantation[J]. Chin J Mod Nurs, 2016,22(17):2399-2403.
[4]	梁楚雯. 肝移植受者的心理弹性与生存质量的相关性研究[D]. 广州:广州中医药大学, 2017.
	Liang CW. Research on the relationship between resilience and life quality of patients with liver transplantation[D]. Guangzhou:Guangzhou University of Chinese Medicine, 2017.
[5]	曾旭婧. 肾移植受者心理弹性与自我效能、应对方式、社会支持的相关性[J]. 解放军护理杂志, 2019,36(5):25-28.
	Zeng XJ. Impacts of self-efficacy,coping style,and social support on psychological resilience in kidney transplant recipients[J]. Nurs J Chin PLA, 2019,36(5):25-28.
[6]	Connor KM, Davidson JRT. Development of a new resilience scale:the Connor-Davidson Resilience Scale(CD-RISC)[J]. Depress Anxiety, 2003,18(2):76-82. doi: 10.1002/da.10113 pmid: 12964174
[7]	于肖楠, 张建新. 自我韧性量表与Connor-Davidson韧性量表的应用比较[J]. 心理科学, 2007,30(5):1169-1171.
	Yu XN, Zhang JX. A comparison between the Chinese version of Ego-Resiliency Scale and Connor-Davidson Resilience Scale[J]. Psychol Sci, 2007,30(5):1169-1171.
[8]	肖水源. 《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志, 1994,4(2):98-100.
	Xiao SY. Theoretical basis and research application of social support rating scale[J]. J Clin Psychol Med, 1994,4(2):98-100.
[9]	Schwarzer R, Born A. Optimistic self-beliefs:assessment of gene-ral perceived self-efficacy in thirteen cultures[J]. World Psycho-logy, 1997,3(1/2):177-190.
[10]	王静, 孔介彦. 肝移植患者社会支持与生存质量相关性研究[J]. 中国护理管理, 2010,10(8):58-60.
	Wang J, Kong JY. A correlational study between social support and quality of life in liver transplantation patients[J]. Chin Nurs Manag, 2010,10(8):58-60.
[11]	范琳琳. 肝移植受者述情障碍、社会支持与生存质量的相关性研究[D]. 广州:广州中医药大学, 2017.
	Fan LL. The study of the relationship among alexithymia characteristic,social support and quality of life in liver transplantation recipients[D]. Guangzhou:Guangzhou University of Chinese Medicine, 2017.
[12]	杨滢, 张昕, 褚静茹, 等. 肝移植受者一般自我效能对其治疗依从性的影响[J]. 中华护理杂志, 2015,50(10):1184-1188.
	Yang Y, Zhang X, Chu JR, et al. The influence of the self-efficacy on compliance of liver transplant recipients[J]. Chin J Nurs, 2015,50(10):1184-1188.
[13]	张作记. 行为医学量表手册[M]. 北京: 中华医学电子音像出版社, 2005:186-187.
	Zhang ZJ. Handbook of behavioral medical scale[M]. Beijing: Chinese Medical Multimedia Press, 2005:186-187.
[14]	Yu XN, Zhang JX. Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale(CD-RISC) with Chinese people[J]. Soc Behav Pers, 2007,35(1):19-30.
[15]	邱孝丰, 胡鑫, 王兴萍, 等. 心肌梗死急诊经皮冠状动脉介入治疗术后患者心理弹性水平及其影响因素[J]. 解放军护理杂志, 2019,36(1):43-46.
	Qiu XF, Hu X, Wang XP, et al. Psychological resilience in patients received emergency PCI after myocardial infarction and its influencing factors[J]. Nurs J Chin PLA, 2019,36(1):43-46.
[16]	陈曦, 王静成,. 永久性肠造口病人自我效能、应对方式与生活质量的相关研究[J]. 护理研究, 2016,30(8):942-946.
	Chen X, Wang JC. Correlation research between self efficacy,coping style and quality of life in patients with permanent intestinal stoma[J]. Chin Nurs Res, 2016,30(8):942-946.
[17]	刘敦, 姜小鹰, 宋继红. 护理本科生实习前心理健康及社会支持对心理弹性的影响研究[J]. 中华护理教育, 2015,12(10):749-752.
	Liu D, Jiang XY, Song JH. The influence of mental health and social support on the resilience of undergraduate nursing students before clinical practice[J]. Chin J Nurs Educ, 2015,12(10):749-752.
[18]	Kumpfer KL, Summerhays JF. Prevention approaches to enhance resilience among high-risk youth:comments on the papers of Dishion & Connell and Greenberg[J]. Annals of the New York Academy of Sciences, 2006,1094:151-163. pmid: 17347348
[19]	Helmondt SJ, Lee ML, Vries J. Study protocol of the CAREST-trial:a randomized controlled trial on the（cost-） effectiveness of a CBT-based online self-help training for fear of cancer recurrence in women with curatively treated breast cancer[J]. BMC Cancer, 2016,16(1):527-537. doi: 10.1186/s12885-016-2562-0