| Citation: |
ZHENG Yanqing, WANG Qian, ZHANG Xiaoqi, PENG Chunyan, XU Xinyun, YANG Hua. Mediating effect of acceptance of illness between caregivers' positive feelings and self-management behavior in patients with inflammatory bowel disease[J]. Journal of Clinical Medicine in Practice, 2023, 27(19): 56-60. DOI: 10.7619/jcmp.20231072
|
To explore the relationships of positive feelings of caregivers of inflammatory bowel disease(IBD)patients with acceptance of illness and self-management behavior of patients.
A total of 214 IBD patients were selected as study subjects by convenience sampling. Patients and caregivers were investigated by general data questionnaire, Caregiver Positive Feeling Scale, Disease Acceptance Scale and Self-management Behavior Scale. Pearson correlation analysis was used to explore the correlation among the three factors, AMOS was used to establish a structural equation model, Bootstrap was used to test the model for the second time, and the mediating effect of patients' disease acceptance between the positive attitude of caregivers and patients' self-management behavior was analyzed.
The caregiver's positive feelings, acceptance of illness and self-management behaviors of IBD patients were in the middle level. The positive feelings of female caregivers and family caregivers of IBD patients with more times of hospitalization in recent 2 years, higher education level and work and study more affected by disease were lower (P<0.05). The positive attitude scores of female caregivers and family caregivers of patients with more times of hospitalization in recent two years, higher education level, and greater impact on work and study by disease were lower (P<0.05). The gender of the caregiver, the times of hospitalization in the past two years, and the status of work and study were all influencing factors of patients' self-management behavior (P<0.05). There were positive correlations of IBD caregivers' positive feelings, patients' acceptance of illness with self-management behavior (r=0.425, P<0.01; r=0.593, P<0.01), acceptance of illness was positively correlated with self-management behavior (r=0.607, P<0.01). The mediating effect analysis showed that patients' acceptance of illness had a certain degree of mediating effect between caregivers' positive feelings and patients' self-management behavior.
Positive attitude and acceptance of illness of IBD patients are very important for improving patients' self-management behavior. Targeted intervention by clinical staff can provide more support channels and disease management guidance to patients and caregivers, improve caregivers' positive attitude and disease acceptance, thereby improving patients' self-management behavior.
| [1] |
吴梦瑶, 牛巍巍, 张晓岚. 炎症性肠病相关肠道和肠外肿瘤研究[J]. 胃肠病学和肝病学杂志, 2021, 30(3): 259-263. doi: 10.3969/j.issn.1006-5709.2021.03.004
|
| [2] |
KAPLAN G G. The global burden of IBD: from 2015 to 2025[J]. Nat Rev Gastroenterol Hepatol, 2015, 12(12): 720-727. doi: 10.1038/nrgastro.2015.150
|
| [3] |
中华医学会消化病学分会炎症性肠病学组. 炎症性肠病诊断与治疗的共识意见(2018年, 北京)[J]. 中华消化杂志, 2018, 38(5): 796-813.
|
| [4] |
薛鲜敏, 万健, 张玉洁, 等. 炎症性肠病患者的疾病负担和护理者负担[J]. 现代消化及介入诊疗, 2019, 24(8): 933-935. https://www.cnki.com.cn/Article/CJFDTOTAL-XDXH201908032.htm
|
| [5] |
张永红, 乔倩, 朱大梅, 等. 炎症性肠病患儿照顾者积极感受现状及影响因素分析[J]. 中华现代护理杂志, 2021, 27(17): 2286-2290.
|
| [6] |
BIJAK M, OLSZANECKA A, PAȽCZYNSKA E, et al. Factors determining acceptance of illness in patients with arterial hypertension and comorbidities[J]. Kardiol Pol, 2021, 79(4): 426-433. doi: 10.33963/KP.15860
|
| [7] |
周美景, 罗丹, 林征, 等. 炎症性肠病患者自我管理行为的影响因素分析[J]. 中华护理杂志, 2021, 56(4): 550-555. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202104016.htm
|
| [8] |
薄瑾, 林梦月, 刘晓红, 等. 中青年炎症性肠病患者自我管理困境的质性研究[J]. 护士进修杂志, 2022, 37(14)1310-1314, 1330 https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202214013.htm
|
| [9] |
田伶玉. 脑卒中患者疾病接受度及其干预的研究[D]. 承德: 承德医学院, 2021.
|
| [10] |
何霞, 李静. 基于自我超越思维护理模式对鼻咽癌患者效能感、疾病接受度及生活质量的影响[J]. 国际护理学杂志, 2022, 41(20): 3821-3824.
|
| [11] |
RIBEIRO O, BRANDẶO D, OLIVEIRA A F, et al. Positive aspects of care in informal caregivers of community-dwelling dementia patients[J]. J Psychiatr Ment Health Nurs, 2020, 27(4): 330-341.
|
| [12] |
张睿, 李峥. 中文版照顾者积极感受量表的信效度研究[J]. 中华护理杂志, 2007, 42(12): 1068-1071. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL200712005.htm
|
| [13] |
赵雯雯. 中文版疾病接受度量表的信效度评价[J]. 中华现代护理杂志, 2018, 24(22): 2652-2655.
|
| [14] |
王志羽, 鲁显玉, 邢凤梅. 疾病接受度和家庭关怀度对老年共病患者心理一致感的影响[J]. 解放军护理杂志, 2022, 39(2): 25-28. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202202007.htm
|
| [15] |
尚星辰, 林征, 卞秋桂, 等. 炎症性肠病病人自我管理行为量表的编制及信效度检验[J]. 护理研究, 2019, 33(14): 2374-2380. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201914003.htm
|
| [16] |
赵明珠, 刘婷, 赵显芝, 等. 炎症性肠病患者心理韧性、家庭功能与自我管理行为的相关性[J]. 护理实践与研究, 2021, 18(23): 3477-3482. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ202123001.htm
|
| [17] |
石秀秀, 张丽娜, 高丁杨, 等. 失能老人家庭照顾者积极感受与自我效能的相关性研究[J]. 中华现代护理杂志, 2019, 25(18): 2295-2300.
|
| [18] |
LÖNNFORS S, VERMEIRE S, AVEDANO L. IBD and health-related quality of life—discovering the true impact[J]. J Crohns Colitis, 2014, 8(10): 1281-1286.
|
| [1] | GAO Xianru, ZENG Qingping, LI Mengyao, LI Yuping, TAN Yuerong, WANG Jia, SHI Tian. Bibliometric analysis of domestic and foreign studies on dysphagia after stroke in the past decade[J]. Journal of Clinical Medicine in Practice, 2023, 27(3): 127-133. DOI: 10.7619/jcmp.20223226 |
| [2] | YANG Ling, LEI Ming, CHEN Qun, ZHAO Xiao, YU Xiaoxia. Clinical study on Weijin Xiangjiao acupuncture in the treatment of dysphagia after ischemic stroke[J]. Journal of Clinical Medicine in Practice, 2022, 26(20): 30-34. DOI: 10.7619/jcmp.20221050 |
| [3] | BAI Xue, LI Bing, LI Hua, GONG Qiwei, FENG Ling. Effect of early swallowing and feeding intervention on dysphagia and quality of life in postoperative patients with tongue cancer[J]. Journal of Clinical Medicine in Practice, 2022, 26(12): 46-50. DOI: 10.7619/jcmp.20220199 |
| [4] | DAI Suyun, XIANG Wenhai, CUI Lisheng, OUYANG Yuchen, DING Jie, FENG Huiping, DONG Jiahao. Oral sensation training in patients with dysphagia and salivation after stroke[J]. Journal of Clinical Medicine in Practice, 2022, 26(2): 6-10. DOI: 10.7619/jcmp.20213872 |
| [5] | XU Jiehui, HAO Zhina, PIAO Jingjing, GU Yanmei. Effect of timing acupoint stimulation for dysphagia patients after stroke[J]. Journal of Clinical Medicine in Practice, 2021, 25(17): 70-75. DOI: 10.7619/jcmp.20211546 |
| [6] | HU Yue. Rehabilitation nursing of traditional Chinese medicine in patients with dysphagia after stroke[J]. Journal of Clinical Medicine in Practice, 2020, 24(11): 78-81. DOI: 10.7619/jcmp.202011022 |
| [7] | CHEN Xinxing, TIAN Ling. Timing selection of acupuncture and rehabilitation training for patients with dysphagia after stroke[J]. Journal of Clinical Medicine in Practice, 2020, 24(6): 123-125. DOI: 10.7619/jcmp.202006034 |
| [8] | LIU Guoju, DING Yun, CHENG Yuefeng, LIANG Caihong. Effect of drinking water test combined with swallowing training for the treatment of cerebral infarction patients with dysphagia[J]. Journal of Clinical Medicine in Practice, 2018, (2): 5-8. DOI: 10.7619/jcmp.201802002 |
| [9] | ZHAO Feili, ZHANG Chunni. Effect of time rehabilitation nursing on functional rehabilitation of cerebral infarction patients with dysphagia[J]. Journal of Clinical Medicine in Practice, 2016, (6): 10-12. DOI: 10.7619/jcmp.201606004 |
| [10] | Ayshemgul·Shadr, ZHAO Jie, YANG Yunxin. Effect observation of different approaches in the treatment of dysphagia in patients with cerebral stroke[J]. Journal of Clinical Medicine in Practice, 2014, (18): 72-74. DOI: 10.7619/jcmp.201418023 |
| 1. |
万姜维，成东茹，王涛，高萍. 血清乳酸脱氢酶、β_2微球蛋白、铁蛋白联合改良WHO预后积分系统预测骨髓增生异常综合征预后不良的价值. 实用临床医药杂志. 2024(05): 79-84 .
 本站查看
|
© 2020 《实用临床医药杂志》编辑部
Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807
Supported by:
Beijing Renhe Information Technology Co., Ltd.
苏公网安备 32100302010246号
DownLoad: