Analysis of influencing factors of self-management behavior in patients with inflammatory bowel disease

doi:10.3761/j.issn.0254-1769.2021.04.012

Abstract

Abstract:

Objective To explore the effects of resilience,acceptance of illness and social support on self-management behavior among patients with inflammatory bowel disease（IBD）. Methods By using the convenient sampling method,200 patients with IBD were selected from December 2019 to August 2020 in a tertiary hospital in Nanjing. General information questionnaire,social support rating scale,acceptance of illness scale,resilience scale for IBD,self-management behavior scale for IBD were used to conduct the investigation. We established the structural equation model by AMOS 26.0 software. Results The score of self-management behavior of patients with IBD was（139.00±21.13）. Patients’ resilience and acceptance of illness had direct positive effects on self-management behavior,and the effect values were 0.294 and 0.453 respectively（all P<0.05）. Patients’ resilience has indirect positive effects on self-management behavior,with effect values of 0.371（P<0.001）. Social support could affect self-management behavior indirectly through resilience and（or） acceptance of illness,and the total effect value was 0.158（P<0.05）. Resilience,acceptance of illness and social support can explain 50.1% of the total variation of self-management behavior. Conclusion The self-management behavior of patients with IBD was at a moderate level. Resilience,acceptance of illness and social support of patients with IBD had positive impacts on their self-management behavior. Nurses can promote patients’ self-management behavior by positive psychological interventions,helping patients set phased goals,and obtaining positive support from their families and colleagues.

Key words: Inflammatory Bowel Disease, Self-Management, Acceptance of Illness, Resilience, Social Support, Structural Equation Model, Nursing Care

摘要：

目的探讨炎症性肠病患者心理韧性、疾病接受度及社会支持对其自我管理行为的影响。方法采用便利抽样法选取2019年12月—2020年8月于南京市某三级甲等医院就诊的200例炎症性肠病患者,采用一般资料调查表、炎症性肠病自我管理行为量表、炎症性肠病心理韧性量表、疾病接受度量表、社会支持量表进行问卷调查,应用AMOS 26.0软件建立结构方程模型。结果炎症性肠病患者自我管理行为得分为（139.00±21.13）分。患者心理韧性、疾病接受度对自我管理行为有直接正向效应,效应值分别为0.294、0.453（P<0.05）,心理韧性对自我管理行为有间接效应,效应值为0.371（P<0.001）;社会支持通过心理韧性和（或）疾病接受度间接作用于自我管理行为,总效应值为0.158（P<0.05）。心理韧性、疾病接受度和社会支持可解释自我管理行为总变异的50.1%。结论炎症性肠病患者自我管理行为处于中等水平。心理韧性、疾病接受度和社会支持对炎症性肠病患者自我管理行为具有积极影响,护理人员可通过积极心理干预、帮助患者设定阶段性成就目标及获取其家属和同事的积极支持等方法改善患者自我管理行为。

关键词: 炎症性肠病, 自我管理, 疾病接受度, 心理韧性, 社会支持, 结构方程模型, 护理

ZHOU Meijing,LUO Dan,LIN Zheng,ZHANG Hongjie,BIAN Qiugui,LIU Meihong,REN Shurong,GU Zijun,SUN Caiyun,WANG Mi. Analysis of influencing factors of self-management behavior in patients with inflammatory bowel disease[J]. Chinese Journal of Nursing, 2021, 56(4): 550-555.

周美景,罗丹,林征,张红杰,卞秋桂,刘梅红,任树荣,顾子君,孙彩云,王咪. 炎症性肠病患者自我管理行为的影响因素分析[J]. 中华护理杂志, 2021, 56(4): 550-555.

Figures/Tables 4

Table 1 General information of participants（n=200）

Table 2 The scores of each dimension of self-management behavior of patients with inflammatory bowel disease（n=200）

Table 3 Correlation analysis of resilience,acceptance of illness,social support and self-management behavior in patients with inflammatory bowel disease（r value）

Table 4 Analysis of the standard path of resilience, acceptance of illness and social support on self-management behavior

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