[1]郭丽萍,方晓霞,李明楠,等.自我效能感在冠心病患者自我管理行为与生活质量间的中介效应分析[J].医学信息,2025,38(20):56-61.[doi:10.3969/j.issn.1006-1959.2025.20.011]
　GUO Liping,FANG Xiaoxia,LI Mingnan,et al.Analysis of the Mediating Effect of Self-efficacy Between Self-management Behaviorand Quality of Life in Patients with Coronary Heart Disease[J].Journal of Medical Information,2025,38(20):56-61.[doi:10.3969/j.issn.1006-1959.2025.20.011]
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自我效能感在冠心病患者自我管理行为与生活质量间的中介效应分析()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年20期
页码:
56-61
栏目:
论著
出版日期:
2025-10-15

文章信息/Info

Title:
Analysis of the Mediating Effect of Self-efficacy Between Self-management Behaviorand Quality of Life in Patients with Coronary Heart Disease
文章编号:
1006-1959（2025）20-0056-06
作者:
郭丽萍; 方晓霞; 李明楠; 耿孟菲
新乡医学院第四临床学院护理部，河南 新乡 453000
Author(s):
GUO Liping;  FANG Xiaoxia;  LI Mingnan;  GENG Mengfei
Department of Nursing, the Fourth Clinical College of Xinxiang Medical University, Xinxiang 453000, Henan, China
关键词:
冠心病; 自我管理; 自我效能感; 生活质量; 中介效应
Keywords:
Coronary heart disease;  Self-management;  Self-efficacy;  Quality of life;  Mediating effect
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2025.20.011
文献标志码:
A
摘要:
目的 调查冠心病患者自我管理、自我效能感和生活质量现状，并探索自我效能感在冠心病患者自我管理行为与生活质量间的中介作用。方法 在2024年2月-6月，本研究以河南省某三甲医院的冠心病患者作为受试者，通过使用普通的数据收集、冠心病的个人健康评估、生活品质指标以及慢性疾病的个人健康评估，比较患者自我管理行为、生活质量、慢性病自我效能得分，构建相应的中介模型。结果 167例冠心病患者的自我管理总分为（77.73±18.94）分，其中疾病医学管理条目均分最高（39.08±11.75）分，其次为日常生活管理（25.33±6.02）分、情绪管理（13.32±4.28）分；生活质量总分为（63.14±25.12）分，其中MCS条目均分最高（63.83±27.25）分，其次为PCS（62.45±24.71）分；自我效能总分为（38.89±17.19）分，其中症状管理自我效能条目分最高（25.60±11.56）分，其次为疾病共性管理自我效能（13.28±5.87）分；Pearson相关性分析显示本组冠心病患者自我管理行为、生活质量和慢性病自我效能相互之间呈两两相关（r为0.370~0.829，P＜0.05）；冠心病患者自我管理行为与生存质量成正相关（β=0.228，P＜0.001）；中介效应分析自我管理行为和生活质量的关系具有明确的中介性（P＜0.05），其中，自我效能感的影响程度高达0.659，占据了整体影响的65.40%，影响显著。结论 自我效能感对于影响冠心病患者的日常生活质量至关重要，通过加强个人的自律性和责任意识，可以显著地提升冠心病患者日常健康与幸福感。
Abstract:
Objective To investigate the status of self-management, self-efficacy and quality of life in patients with coronary heart disease, and to explore the mediating role of self-efficacy between self-management behavior and quality of life in patients with coronary heart disease. Methods From February to June 2024, patients with coronary heart disease in a tertiary hospital in Henan Province were taken as the research object. By using general data collection, personal health assessment of coronary heart disease, quality of life indicators and personal health assessment of chronic diseases, the scores of self-management behavior, quality of life and self-efficacy of chronic diseases were compared, and the corresponding mediating model was constructed. Results The total score of self-management of 167 patients with coronary heart disease was (77.73±18.94)scores, among them, the average score of disease medical management items was the highest [(39.08±11.75)scores], followed by daily life management [(25.33±6.02)scores], emotional management [(13.32±4.28)scores]. The total score of quality of life was (63.14±25.12)scores, among them, the average score of MCS was the highest [(63.83±27.25)scores], followed by PCS [(62.45±24.71)scores]. The total score of self-efficacy was (38.89±17.19)scores, among them, the average score of symptom management self-efficacy was the highest [(25.60±11.56)scores], followed by disease commonness management self-efficacy [(13.28±5.87)scores]. Pearson correlation analysis showed that there was a pairwise correlation between self-management behavior, quality of life and chronic disease self-efficacy in patients with coronary heart disease (r=0.370-0.829, P<0.05); the self-management behavior of patients with coronary heart disease was positively correlated with the quality of life (β=0.228, P<0.001). Mediating effect analysis showed that the relationship between self-management behavior and quality of life had a clear intermediary (P<0.05), in which the influence of self-efficacy was as high as 0.659, accounting for 65.40% of the overall impact, and the impact was significant. Conclusion Self-efficacy is crucial to the quality of daily life of patients with coronary heart disease. By strengthening personal self-discipline and sense of responsibility, it can significantly improve the daily health and well-being of patients with coronary heart disease.

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更新日期/Last Update: 1900-01-01