The relationship between compliance and perceived social support in young patients with newly treated pulmonary tuberculosis based on the Southern Xinjiang Model: the mediating role of medication self-efficacy
10.3760/cma.j.cn211501-20230711-01660
- VernacularTitle:基于南疆模式下的青年初治肺结核患者遵医水平与领悟社会支持间的关系：合理用药自我效能的中介作用
- Author:
Qian WU
1
;
Zhibin WEI
;
Jing YANG
;
En FAN
;
Li SHI
;
Meixin WANG
Author Information
1. 新疆医科大学护理学院，乌鲁木齐 830011
- Keywords:
Young adult;
Tuberculosis, pulmonary;
Perceived social support;
Compliance behavior;
Self-efficacy of taking medicine;
Mediating effect
- From:
Chinese Journal of Practical Nursing
2023;39(35):2721-2728
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of medication self-efficacy between perceived social support and compliance behavior in young patients with newly treated pulmonary tuberculosis under the Southern Xinjiang Model.Methods:A cross-sectional survey was conducted in Kashgar Tuberculosis Prevention and Control Institute Hospital and Tuberculosis Specialist Hospital of Hetian from January 2022 to April 2023. A total of 302 young patients with initial treatment of pulmonary tuberculosis in were selected as the research objects by convenience sampling method. The General Information Questionnaire, the Tuberculosis Compliance Behavior Rating Scale, Perceived Social Support Scale and Self-efficacy for Appropriate Medication Use scale were used to investigate, and the correlation analysis and mediating effect analysis were carried out.Results:The total scores of compliance behavior, self-efficacy and perceived social support were (119.09 ± 13.49), (23.48 ± 6.25) and (55.67 ± 11.33) respectively. All dimensions of medication self-efficacy and perceived social support were positively correlated with compliance behavior ( r values were 0.555 - 0.943, all P<0.01), and medication self-efficacy was positively correlated with perceived social support ( r = 0.981, P<0.01). Medication self-efficacy played a partial mediating effect between perceived social support and compliance behavior, accounting for 74.46% of the total effect. Conclusions:The medication self-efficacy of young patients with newly treated pulmonary tuberculosis is the mediating variable between perceived social support and compliance behavior. Medical staff should focus on and carefully evaluate the medication self-efficacy and perceived social support of patients, so as to give supportive intervention in time, so as to change or even reverse the non-compliance behavior and improve the compliance level of patients.
