Status quo and influencing factors of self-management of depression in community residents based on structural equation model
10.3760/cma.j.cn115682-20210129-00481
- VernacularTitle:基于结构方程模型的社区居民抑郁情绪自我管理现状及影响因素分析
- Author:
Suli CAI
1
;
Shuxia YANG
;
Jinfeng LI
;
Fuyin CHEN
;
Dongmei WU
Author Information
1. 济宁医学院附属医院健康管理中心，济宁 272029
- Keywords:
Depression;
Community residents;
Self-management;
Structural equation model
- From:
Chinese Journal of Modern Nursing
2021;27(25):3472-3476
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status and influencing factors of self-management of depression in community residents, so as to provide clues and basis for promoting the mental health of community residents.Methods:From June to August 2020, the residents of a community in Jining city in Shandong Province were selected as the survey objects, and 458 permanent residents were selected by simple random sampling method. The self-designed general data questionnaire, Depression Self-management Scale, General Self-Efficacy Scale (GSES) , Simple Coping Style Questionnaire (SCSQ) and Social Support Rating Scale (SSRS) were used to conduct cross-sectional survey, and structural equation was used to analyze the influencing factors of depression self-management of community residents. A total of 458 questionnaires were sent out and 443 were effectively received, with the effective recovery rate of 96.72%.Results:The depression self-management score of 443 community residents was (32.72±5.72) , GSES score was (23.47±5.12) , score of positive coping in SCSQ (2.07±0.51) , score of negative coping in SCSQ was (1.14±0.43) and total score of SSRS (32.89±3.43) . The structural equation model showed that the total effects of self-efficacy, positive coping, negative coping and social support on self-management of depression in community residents were respectively 0.45, 0.42, -0.52 and 0.37 ( P<0.05) . Conclusions:The depression self-management level of community residents is directly or indirectly affected by self-efficacy, coping styles and social support. When conducting mental health publicity and education in the community, it should be based on improving the self-efficacy of residents, coping styles and the level of social support to choose effective methods and content of publicity and education to promote the improvement of the self-management level of individual depression.
