Mediating effect of self-efficacy between disease activity index and quality of life in patients with inflammatory bowel disease
10.3760/cma.j.cn115682-20200508-03214
- VernacularTitle:自我效能在炎症性肠病患者疾病活动指数与生活质量间的中介效应
- Author:
Yuxia GUAN
1
;
Lili YOU
;
Yue ZHANG
;
Hong LYU
Author Information
1. 中国医学科学院北京协和医院国际医疗部 100730
- Keywords:
Inflammatory bowel diseases;
Self-efficacy;
Disease activity index;
Quality of life
- From:
Chinese Journal of Modern Nursing
2020;26(35):4964-4969
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating role of self-efficacy between disease activity index and quality of life in patients with inflammatory bowel disease (IBD) .Methods:From January 2018 to March 2019, convenience sampling was used to select 173 IBD patients hospitalized in the Department of Gastroenterology of Peking Union Medical College Hospital as the research object. Patients were investigated with the Inflammatory Bowel Disease Questionnaire (IBDQ) , Chronic Disease Management Self-Efficacy Scale (CDM-SES) and the Disease Activity Index [Colitis Activity Index (CAI) /Crohn's Disease Activity Index (CDAI) ].We performed correlation and regression analysis on the data. The mediation effect test was carried out by using the test mediation effect procedure proposed by Wen Zhonglin.Results:IBD patients' disease activity index was negatively correlated with quality of life ( r=-0.466, P<0.01) , symptom management ( r=-0.156, P<0.05) ; quality of life was positively correlated with self-efficacy ( r=0.346, P<0.01) . Self-efficacy had a mediating effect between disease activity index and quality of life. Conclusions:The self-efficacy of patients with IBD plays a partially mediating role between disease activity index and quality of life. Nurses should pay attention to improving the self-efficacy of patients with active disease, thereby improving their quality of life.