【摘要】 目的:探讨自我护理能力在幽门螺旋杆菌阳性消化性溃疡患者生存状况与焦虑之间的中介效应。方法:采用问卷调查的方法,运用自我护理能力实施量表(ESCA),自测健康评定量表(SRHMS))和焦虑自评量表(SAS)对300例幽门螺旋杆菌阳性消化性溃疡患者进行调查,并将结果与同期300例一般情况相匹配的健康人群进行比较,将数据输入SPSS13.0和AMOS7.0软件进行处理分析。结果:消化性溃疡患者ESCA总分为(101±13)分,SRHMS总分评分为(299±35)分,SAS总分为(56±8)分。相关性分析结果显示,自我护理能力,自测健康以及抑郁间存在不同程度的相关性(均P<0.01),Bootstrap检验显示,自测健康至焦虑的中介效应值为0.17,95%CI(0.11,0.26),中介效应与总效应之比比值为0.44。结论:自我护理能力对生存状况与焦虑具有较强的中介效应。更多还原

【Abstract】 Objective: To explore the mediating effect of self-nursing ability between living condition and anxiety in the patients with peptic ulcer caused by helicobacter pylori. Methods: By using questionnaire survey method,300 patients with a peptic ulcer caused by helicobacter pylori were assessed with the exercise of self-care agency( ESCA),Self-rated Health Measurement Scale( SRHMS) and Self-Rating Anxiety Scale( SAS). The result was compared with that of 300 healthy crowd whose general condition was well-matched. The data were processed and analyzed by using SPSS13. 0 and AMOS7. 0. Results: The total scores of the ESCA,SRHMS and SAS were( 101 ± 13),( 299 ± 35),( 56 ± 8) respectively. The result of the correlation analysis showed there were varying degree correlation among the disease self-nursing ability, self-rated Health, and anxiety( Ps < 0. 01). Bootstrap test showed the size of the mediating effect of self-test health to anxiety was 0. 17,the 95% confidence intervals was0. 11-0. 26,and the ratio of the mediating effect to the total effect was 0. 44. Conclusion: It suggests that self-nursing ability may have much strong mediating role between health condition and anxiety.更多还原