Effects of gratitude, social support and perceived stress on disease self-management in patients with chronic hepatitis B liver fibrosis
10.3760/cma.j.issn.1674-2907.2018.23.005
- VernacularTitle:感恩情绪、社会支持和觉知压力对慢性乙型肝炎肝纤维化患者疾病自我管理的影响
- Author:
Huizhu LIANG
1
;
Wenru ZHANG
;
Yonghong YANG
Author Information
1. 510220,广州市红十字会医院消化内科
- Keywords:
Hepatitis,B;
Liver fibrosis;
Disease self-management;
Influencing factors;
Path analysis
- From:
Chinese Journal of Modern Nursing
2018;24(23):2746-2751
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical status of disease self-management ability in patients with chronic hepatitis B liver fibrosis and to analyze the effect of gratitude,social support and perceived stress on the ability.Methods Totally 236 patients with chronic hepatitis B liver fibrosis were selected from Guangzhou Red Cross Hospital by convenient sampling from January 2016 to June 2017 and investigated with the general information questionnaire,the Chronic Hepatitis B Self-Management Scale,the Gratitude Resentment and Appreciation Test (GRAT),the Social Support Rating Scale and the Perceived Stress Scale-Chinese (CPSS).PASW Statistics 18.0 and AMOS 18.0 were used to analyze the effects.Results The disease self-management score in patients with chronic hepatitis B liver fibrosis was (94.41 ± 16.78).According to correlation analysis,gratitude,social support and perceived stress were positively correlated with disease self-management (r=0.327,0.339;P ＜ 0.05);while perceived stress was negatively correlated with disease self-management (r=-0.574,P ＜ 0.05).The multiple linear regression analysis and model fitting showed that gratitude had direct effect on disease self-management (β=0.314);social support had direct influence (β=0.354) and indirect (β=0.199) effect on it;and perceived stress had direct (β=-0.567) and indirect (β=-0.058) on it.Conclusions The patients with chronic hepatitis B liver fibrosis show a relatively poor disease self-management ability.Clinical medical and nursing staff shall cultivate the patients' gratitude,mobilize their social support,reduce their perceived stress and improve their disease self-management ability.
