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。
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.
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
Key words
thyroid cancer /
self-perceived burden /
self-efficacy /
health literacy /
mediating effect
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 甲状腺癌诊疗指南(2022年版)[J]. 中国实用外科杂志,2022,42(12):1343-1357+1363.
[2] 程若川,刘文. 鉴往知来:分化型甲状腺癌术后随访模式探索[J]. 中国普通外科杂志,2018,27(11):1370-1376.
[3] Paige SR,Stellefson M,Krieger JL,et al.Proposing a transactional model of ehealth literacy:concept analysis[J]. J Med Internet Res,2018,20(10):e10175.
[4] Shaw T,Mcgregor D,Brunner M,et al.What is eHealth(6)development of a conceptual model for eHealth:qualitative study with key informants[J]. J Med Internet Res,2017,19(10):e324.
[5] Yao JJ Jr.It's a matter of perspective:the role of aging expectations and self-efficacy towards engagement in healthy lifestyles among older adults[J]. Asian Pac Isl Nurs J,2019,4(3):116-122.
[6] 高丹. 甲状腺癌患者术前疾病不确定感对自我感受负担水平的影响[J]. 黑龙江中医药,2021,50(05):104-105.
[7] 李艳玲,冯芳,张佳宁,等. 老年慢性心力衰竭患者症状管理自我效能对自我感受负担的影响[J]. 职业与健康,2018,34(10):1335-1338.
[8] 方积乾,陆盈. 现代医学统计学[M]. 北京:人民卫生出版社,2002.
[9] Norman CD,Skinner HA. eHEALS:the eHealth Lite-racy Scale[J]. J Med Internet Res,2006,8(4):e27.
[10] 郭帅军,余小鸣,孙玉颖,等. eHEALS健康素养量表的汉化及适用性探索[J]. 中国健康教育,2013,29(02):106-108+123.
[11] Schwarzer R, Born A, Iwawaki S,et al.The Assessment of Optimistic Self-Beliefs: Comparison of the Chinese, Indonesian, Japanese, and Korean Versions of the General Self-Efficacy Scale[J].Psychologia, 1997, 40(1):1-13.
[12] Zhang JX,Schwarzer R.Measuring optimistic self-beliefs:a Chinese adaptation of the general self-efficacy scale[J]. Psychologia,1995,38(3):174-181.
[13] 王才康,胡中锋,刘勇. 一般自我效能感量表的信度和效度研究[J]. 应用心理学,2001,7(1):37-40.
[14] Cousineau N,Mcdowell l,Hotz S,et al. Measuring chronic patients' feelings of being a burden to their Caregivers:development and preliminary validation of a scale[J]. Med Care,2003,41(1):110-118.
[15] 武燕燕,姜亚芳. 癌症患者自我管理行为的调查与分析[J]. 护理管理杂志,2010,10(6):405-407.
[16] 温忠麟,侯杰泰,张雷. 调节效应与中介效应的比较和应用[J]. 心理学报,2005(02):268-274.
[17] 段怡雯,陈梦怡,陆敏敏. 老年冠心病患者电子健康素养及影响因素研究[J]. 上海护理,2022,22(11):37-40.
[18] 张霞,冯世平,曾书萍,等.2型糖尿病患者电子健康素养与自我效能感及自我管理行为的现状及相关性分析[J]. 现代临床医学,2022,48(03):170-174.
[19] 宗明灿,忻笑,倪雪萍,等. 自我效能和治疗依从性在高血压患者电子健康素养和血压控制间的链式中介作用[J]. 军事护理,2022,39(09):45-48+64.
[20] 赵煜华,王俊霞,吴田瑞,等. 肠造口患者电子健康素养现况及其影响因素分析[J]. 护理管理杂志,2021,21(11):805-809+818.
[21] Hoogland AI,Mansfield J,Lafranchise EA,et al.eHealth literacy in older adults with cancer[J]. J Geriatr Oncol,2020,11(6):1020-1022.
[22] 何娇. 永久心脏起搏器植入患者自我感受负担及其影响因素研究[D]. 长春: 吉林大学,2021.
[23] 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,2005:187-188.
[24] 胡莹莹,吴敏. 重症急性胰腺炎患者自我效能感的影响因素[J]. 中国医药导报,2022,19(09):63-66.
[25] 韩清清,麻瑞霞,刘萌. 基于健康意识理论的护理干预结合知信行干预对胆囊切除术后患者疾病自我感受负担,健康素养及疼痛介质的影响[J]. 临床医学研究与实践,2023,8(6):3.
[26] 类美容,张红伟,刘静,等. 自我效能和出院准备度在高血压病患者健康素养与自我管理间的链式中介作用[J]. 护理实践与研究,2022,19(13):1900-1905.
[27] Kim MT,Kim KB,Ko J,et al.Health Literacy and Outcomes of a Community-Based Self-Help Intervention:A Case of Korean Americans With Type 2 Diabetes[J]. Nurs Res,2020 69(3):210-218.
[28] 赵艳琴,刘瑞云,霍静. 宫颈癌放疗病人自我感受负担、自我效能感与生活质量的相关性[J]. 护理研究,2020,34(23):4159-4163.
[29] 景颖颖,王加红. 慢性心力衰竭患者自我感受负担状况及其影响因素[J]. 现代临床护理,2017,16(02):9-14.
[30] Lu X,Zhang R. Association between ehealth literacy in online health communities and patient adherence:cross-sectional questionnaire study[J]. J Med Internet Res,2021,23(9):e 14908.
基金
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）
PDF(1877 KB)
