甲状腺癌患者自我效能感在自我感受负担与健康素养间的中介效应

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摘要 目的：探讨甲状腺癌患者自我效能感在自我感受负担与健康素养间的中介效应。方法：采用便利抽样法,于2022年10月―2023年4月选取湖南省长沙市三甲医院的甲状腺癌患者作为研究对象。采用一般资料调查表、电子健康素养量表、自我感受负担感量表和一般自我效能感量表进行调查。结果：甲状腺癌患者健康素养总分为（26.14±5. 62）分,自我感受负担总分为（22.83±8.45）分,自我效能感总分为（23.54±6.69）分。相关分析结果显示,健康素养与自我感受负担呈负相关、与自我效能感呈正相关,自我感受负担与自我效能感呈负相关。线性回归分析结果显示,自我效能感在甲状腺癌患者健康素养对自我感受负担的影响中发挥完全中介效应。结论：甲状腺癌患者疾病自我感受负担有待降低,健康素养可通过自我效能感的中介作用影响疾病自我感受负担水平。

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	吴文雅
	何彩云
	李柳
	张萍

关键词 ：甲状腺癌, 自我感受负担, 自我效能感, 健康素养, 中介效应

Abstract：Objective To explore the mediating effect of self-efficacy on self-perceived burden and health literacy in patients with thyroid cancer. Methods A convenience sampling method was used to select patients with thyroid cancer from a tertiary Grade-A hospital in Changsha,Hunan Province from October 2022 to April 2023. A general data questionnaire,electronic health literacy scale,self-perceived burden scale,and general self-efficacy scale were used to investigate them. Results The total score of health literacy,self-perceived burden and self-efficacy were（26.14±5.62）,（22.83±8.45）and（23.54±6.69）,respectively. Health literacy was negatively correlated with self-perceived burden,health literacy was positively correlated with self-efficacy,and self-perceived burden was negatively correlated with self-efficacy. Linear regression analyses showed that self-efficacy played a fully mediating effect in the influence of health literacy on self-perceived burden in thyroid cancer patients. Conclusion Self-perceived burden of illness needs to be reduced in thyroid cancer patients,and health literacy can influence the level of self-perceived burden of illness through the mediating role of self-efficacy.

Key words： thyroid cancer self-perceived burden self-efficacy health literacy mediating effect

收稿日期: 2023-05-07

中图分类号:

R473.73

基金资助:湖南省卫生健康委基金项目（D202314058411）; 湖南师范大学医学院开放基金资助项目（KF2022024）

通讯作者: 何彩云,E-mail：hecaiyunhn@163.com

引用本文:

吴文雅, 何彩云, 李柳, 张萍. 甲状腺癌患者自我效能感在自我感受负担与健康素养间的中介效应[J]. 湖南师范大学学报(医学版), 2023, 20(5): 149-153. WU Wenya, HE Caiyun, LI Liu, ZHANG Ping. The Mediating effect of self-efficacy on self-perceived burden and health literacy in patients with thyroid cancer. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(5): 149-153.

链接本文:

http://yxb.hunnu.edu.cn/CN/ 或 http://yxb.hunnu.edu.cn/CN/Y2023/V20/I5/149

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