Factors influencing self-efficacy and social support in tuberculosispatients in a grade-A tertiary hospital in southwest China
CAO Jin-qiu1, XUE Miao1, LIU Xiang-min1, ZHANG Tian-hai2,3
1. West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China; 2. Research Center for Eco-Environmental Sciences, Chinese Academy of Sciences, Beijing 100085, China; 3. Sichuan Normal University, Chengdu, Sichuan 610068, China
Abstract:Objective To understand the correlation between self-efficacy and social support in patients with tuberculosis (TB) so as to provide a theoretical basis for perform targeted intervention on TB patients and their social support system. Methods Self-Efficacy for Managing Chronic Disease 6-Item Scale (SES6C) designed by Lorig, Social Support Rating Scale (SSRS) by Xiao Shuiyuan and general information questionnaire were used to conduct questionnaire surveys among 215 TB patients, and the data were analyzed by variance analysis and Pearson correlation analysis. Results The mean score of self-efficacy in the TB patients was at the middle level (36.37±12.84). The TB patients' total scores and each dimension of self-efficacy and social support were positively correlated (r=0.205-0.553, all P<0.05) except health dimension of self-efficacy and objective support dimension of social support (r=0.205, P=0.088). Thus, social support was a positive factor in improving self-efficacy. Marriage and income were significantly correlated with social support (both P<0.05), but other factors were not significantly correlated with the scores of self-efficacy and social support (all P>0.05). Subjective support was more relevant to self-efficacy than objective support. Conclusions Nursing staff should take targeted measures to strengthen TB patients'social support, especially subjective support, pay more attention to the unmarried and women, and perform an intervention on their social support system so as to improve TB patients' self-efficacy level and speed up recovery.
曹金秋, 薛秒, 刘祥敏, 张天海. 西南某三甲医院结核患者自我效能感与社会支持状况的影响因素研究[J]. 实用预防医学, 2020, 27(6): 652-655.
CAO Jin-qiu, XUE Miao, LIU Xiang-min, ZHANG Tian-hai. Factors influencing self-efficacy and social support in tuberculosispatients in a grade-A tertiary hospital in southwest China. , 2020, 27(6): 652-655.
[1] World Health Organization. Global tuberculosis report 2017[R]. Geneva: WHO, 2017:162-163. [2] French MA, Moore MF, Pohlig R, et al. Self-efficacy mediates the relationship between balance/walking performance, activity, and participation after stroke[J]. Top Stroke Rehabil, 2016, 23(2):77-83. [3] Bandura A. Self-efficacy: toward a unifying theory of behavioral change[J]. Psychol Rev, 1977, 1(4):139-161. [4] 薛亚男, 尚国爱, 吕倩, 等. 健康自我管理对糖尿病足患者自我效能及心理状态的影响[J]. 实用预防医学, 2017, 24(2):137-140. [5] 潘匀, 赵加奎, 林军, 等. 2015年上海市黄浦区高血压患者用药依从性与社会支持的相关研究[J]. 实用预防医学, 2017,24(5):513-516. [6] Rees T, Freeman P. Social support moderates the relationship between stressors and task performance through self-efficacy[J].J Social Clin Psychol, 2009, 28(2):244-263. [7] 李倩茹, 周郁秋, 邹继华, 等. 社会支持和自我效能对急性加重期COPD患者自我感受负担影响的简单效应分析[J]. 护理学报, 2016, 23(3):1-4. [8] 刘敏, 丁元林, 赵蓉, 等. 社会支持与结核病患者健康相关的研究概述[J]. 实用预防医学, 2011, 18(1):186-188. [9] 中华人民共和国国家卫生和计划生育委员会. WS 288-2017 中华人民共和国卫生行业诊断标准肺结核诊断标准[S]. 北京:人民卫生出版社, 2017:1-15. [10] 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. [11] 孔令娜, 周颖清. 重庆市区居家老年慢性病患者生命质量与社会支持、应对方式的相关性[J]. 中国老年学杂志, 2011, 31(13):2545-2546. [12] Lorig K, Stewart A, Ritter P, et al. Outcome measures for health education and other health care interventions [M].Thousand Osks, CA: Sage, 1996:41-44. [13] 傅东波, 傅华. 慢性病自我管理[J]. 中国慢性病预防与控制, 2002, 10(2):93-95. [14] Jones F, Riazi A. Self-efficacy and self-management after stroke: a systematic review[J]. Disabil Rehabil, 2011, 33(10):797-810. [15] 曾小敏, 刘鹤群, 王一任. 结核病患者自我效能感水平及其影响因素分析[J].中国感染控制杂志, 2017, 16(6):511-515. [16] Kuo CY, Liang SY, Tsay SL, et al. Symptom management tasks and haviors related to chemotherapy in Taiwanese outpatients with breast cancer[J]. Eur J Oncol Nurs, 2015, 19(6):654-659. [17] 杨芳玲, 林彬, 鲜军, 等. 2005—2015年克拉玛依市297例登记治疗转归肺结核患者社会支持状况调查[J]. 实用预防医学, 2018, 25(4):425-428. [18] Greene MC, Zhang JP, Li JP, et al. Mental health and social support among HIV - positive injection drug users and their caregivers in China[J]. AIDS Behav, 2013, 17(5):1775-1784.