Mediating effect of self-efficacy on social support and health-promoting lifestyle of elderly patients with chronic diseases in community
10.3760/cma.j.issn.1674-2907.2019.31.009
- VernacularTitle:自我效能在社区老年慢性病患者社会支持和健康促进生活方式间的中介作用
- Author:
Zhu ZHU
1
;
Wenjing GE
;
Wei LUAN
Author Information
1. 上海交通大学医学院附属仁济医院南院
- Keywords:
Aged;
Chronic disease;
Community;
Self-efficacy;
Social support;
Health promotion;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2019;25(31):4032-4036
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mediating effect of self-efficacy on social support and health-promoting lifestyle of elderly patients with chronic diseases in community. Methods By convenience sampling, 659 elderly patients with chronic diseases in a community in Minhang district of Shanghai were selected and General Information Questionnaire, General Self-efficacy Questionnaire, Social Support Scale and Health-promoting Lifestyle Scale were adopted in the questionnaire survey to investigate them. Results The self-efficacy scores of 659 elderly patients with chronic diseases were (27.598±4.907), social support scores were (38.810±5.938) and health-promoting lifestyle dimensional scores were (119.240±21.824).The total score of Social Support Scale and "objective support" dimension were positively correlated with the total score of Self-efficacy Scale (r=0.461, 0.100;P＜0.01). The total score of Social Support Scale was positively correlated with Health-promoting Lifestyle Scale(r=0.082, P＜ 0.05), and the score of self-efficacy was positively correlated with Health-promoting Lifestyle Scale(r=0.180, P＜ 0.01). Self-efficacy partially mediated between social support and health promotion (P＜ 0.01), and the mediating effect accounted for 28.3% of the total effect. Conclusions The social support, self-efficacy and health-promoting lifestyle of elderly patients with chronic diseases in community are at a medium or general level, and self-efficacy plays a part of mediating role between social support and health promotion. Medical staff should pay attention to improving the social support and self- efficacy of elderly patients with chronic diseases, so as to improve the level of health promotion lifestyle and the health condition of the elderly.
