The mediating effects of self-efficacy between symptom experience and quality of life in patients with cirrhosis
10.3760/cma.j.cn211501-20220114-00176
- VernacularTitle:自我效能感在肝硬化患者症状体验和生命质量间的中介作用
- Author:
Zhuping QIAN
1
;
Min XUE
Author Information
1. 上海交通大学医学院附属瑞金医院护理部，上海 200025
- Keywords:
Liver cirrhosis;
Quality of life;
Symptom experience;
Self-efficacy
- From:
Chinese Journal of Practical Nursing
2022;38(32):2518-2523
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To describe the symptom experience of patients with cirrhosis, and explore the mediating effect of self-efficacy between symptom experience and quality of life.Methods:A total of 197 inpatients with liver cirrhosis from June 2020 to February 2021 in Ruijin Hospital, Shanghai Jiao Tong University School of Medicine were recruited in this study by convenient sampling method. Symptom experience, quality of life and self-efficacy were assessed by Memorial Symptom Assessment Scale, Chronic Liver Disease Questionnaire and Self-efficacy for Managing Chronic Disease. The correlation among the three was analyzed and a structural equation model was constructed to evaluate the mediating effect of self-efficacy on symptom experience and quality of life.Results:The total score of symptom experience, quality of life and self-efficacy were (0.79±0.34), (32.51±5.96), (5.10±1.33). Symptom experience was significantly negatively correlated with self-efficacy and quality of life( r=-0.343, -0.763, both P<0.01). Self-efficacy was significantly positively correlated with quality of life( r=0.347, P<0.01). Symptom experience significantly negatively affected quality of life through self-efficacy ( β=-0.036, P=0.045). The total effect of symptom experience on quality of life was composed of direct effect ( β=-0.727, P<0.001) and indirect effect ( β=-0.036, P=0.045). Conclusions:Self-efficacy has a mediating effect between symptom experience and quality of life in patients with liver cirrhosis, which can improve symptom experience and reduce the negative impact of symptoms on quality of life by improving self-efficacy.
