Path analysis of self-efficacy, coping style and social support on resilience in patients with chronic hepatitis B
10.3760/cma.j.issn.1674-6554.2019.11.006
- VernacularTitle: 自我效能、应对方式和社会支持对慢性乙型肝炎患者心理韧性影响的路径分析
- Author:
Xiao WANG
1
;
Aidi ZHANG
2
;
Jin YAN
1
;
Yan LIU
1
;
Feiyan LONG
1
Author Information
1. The Third Xiangya Hospital of Central South University, Changsha 410013, China
2. Xiangya Nursing School of Central South University, Changsha 410013, China
- Publication Type:Clinical Trail
- Keywords:
Chronic hepatitis B;
Resilience;
Self-efficacy;
Medical coping;
Social support;
Path analysis
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2019;28(11):988-993
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating, direct and indirect roles of self-efficacy, social support and medical coping modes with resilience in patients with chronic hepatitis B.
Methods:Totally 384 inpatients and outpatients with chronic hepatitis B, without physical ailments or mental problems were selected.The Connor-Davidson resilience scale (CD-RISC), general self-efficacy scale (GSES), medical coping modes questionnaire (MCMQ) and social support rating scale (SSRS) were adopted in this research.The relationship among all variables was explored by path analysis.
Results:(1)The total scores of resilience, self-efficacy, social support, confrontation, avoidance and acceptance-resignation in chronic hepatitis B patients were (61.64±15.36), (25.40±5.70), (39.82±7.39), (19.02±3.72), (16.63±2.69) and (8.45±2.94), respectively.(2)Pearson analysis showed that the scores of self-efficacy, medical coping and social support were significantly correlated with resilience(r=-0.26-0.82, P<0.05). (3)Importantly, path analysis showed that self-efficacy(β=0.53), confrontation(β=0.10), avoidance(β=0.17) and acceptance-resignation(β=-0.13) had direct prediction effects on resilience.Additionally, self-efficacy was indirectly related to resilience(β=0.05), and social support also indirectly related to resilience through self-efficacy, confrontation and acceptance-resignation(β=0.18).
Conclusion:Self-efficacy, social support and medical coping are the important factors which play a direct or indirect role in resilience.
