Abstract:Objective To explore the moderating role of self-efficacy on relationship between social support and depression in patients with urinary incontinence, and to provide references for reducing depression level in patients with urinary incontinence. Methods A questionnaire survey was conducted among patients with urinary incontinence diagnosed by Department of Gynecology, Sanmenxia Central Hospital from September 1, 2016 to December 31, 2018. The surveyed contents included social demographic data, Self-Rating Depression Scale (SDS), General Self-efficacy Scale and Social Support Scale. Results Among 225 subjects surveyed, 72 (32.0%) were found to have depressive symptoms. The detection rate of depression was higher in elderly patients, patients with long course of disease, obese, divorced and widowed patients and patients with a family history of depression, showing statistically significant differences (P<0.05). The average scores of depression, social support and self-efficacy were 48.38.2, 59.58.7 and 22.16.3, respectively. Perceived social support (β=-0.251,P=0.002)and self-efficacy(β=-0.324,P<0.001)were negatively correlated with depression (P<0.01). Self-efficacy played an enhanced regulatory role in the relationship between social support and depression in patients with urinary incontinence(β=-0.114,P=0.020). Conclusions The detection rate of depression in patients with urinary incontinence is high. On the premise of improving the social support of patients with urinary incontinence, simultaneously improving their self-efficacy can further reduce their depression level.
朱亚丽, 权丽丽, 张彦梅, 曲丽霞. 自我效能感在女性尿失禁患者中社会支持与抑郁之间的调节作用[J]. 实用预防医学, 2020, 27(7): 838-841.
ZHU Ya-li, QUAN Li-li, ZHANG Yan-mei, QU Li-xia. Moderating role of self-efficacy on relationship between social support and depression in female patients with urinary incontinence. , 2020, 27(7): 838-841.
[1] Milsom I,Coyne KS,Nicholson S,et al.Global prevalence and economic burden of urgency urinary incontinence: a systematic review [J].Eur Urol,2014,65(1):79-95. [2] Hung KJ,Awtrey CS,Tsai AC.Urinary incontinence,depression,and economic outcomes in a cohort of women between the ages of 54 and 65 years [J].Obstet Gynecol,2014,123(4):822-827. [3] 李青.老年女性尿失禁患者的生活质量及发病影响因素[J].中国老年学杂志,2012,32(11):2350-2352. [4] 肖腊梅,张孟喜,董巧亮,等.老年住院病人抑郁状态调查与影响因素分析[J].全科护理,2017,15(26):3201-3203. [5] Lim YM,Lee SR,Choi EJ,et al.Urinary incontinence is strongly associated with depression in middle-aged and older Korean women: data from the Korean longitudinal study of ageing[J].Eur J Obstet Gynecol Reprod Biol,2018,220:69-73. [6] 黄庆波,陈功.北京市社区老年人尿失禁与抑郁的关系[J].中国老年学杂志,2017,37(5):1238-1240. [7] 庄海林,贾丽娜,李丹,等.成都地区老年抑郁现状及相关因素分析[J].中华老年心脑血管病杂志,2019,21(11):1182-1187. [8] 曹颖,王意君,吕莉霞,等. 福州市社区老年慢性病患者抑郁症现状及影响因素调查研究[J].中国预防医学杂志,2019,20(9):803-807. [9] 曹群朵,陈金玉,陈月英,等.护理干预对压力性尿失禁患者焦虑及抑郁的影响[J].中国临床护理,2010,2(1):49-50. [10] 张展辉,王玉凤,张高华,等.社会支持与家庭功能对老年脑梗死患者抑郁情绪的影响[J].预防医学论坛,2017,23(1):62-67. [11] 刘慧,李新月,丁嘉琳,等.2017年社区老年人照料者抑郁症状况及影响因素研究[J].实用预防医学,2018,25(12):1501-1504. [12] 刘丽珍,李淑霞,汤嘉敏.就诊女性尿失禁患者社交回避及苦恼的现状及影响因素分析[J].当代护士(下旬刊),2014(2):22-25. [13] 孙春燕,杨宏,李炳芬,等.疾病不确定感对中老年压力性尿失禁妇女一般自我效能感评分的影响[J].齐鲁护理杂志,2012,18(5):1-3.