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领悟社会支持在PICC置管癌症患者上臂运动自我效能与自我管理能力间的中介效应
作者:向璇1  王幼芳1 2  张悦琪1  潘蒙1 
单位:1. 贵州医科大学 护理学院, 贵州 贵阳 550025;
2. 广州市红十字会医院 消化内科, 广东 广州 510220
关键词:经外周置入中心静脉导管 癌症 领悟社会支持 自我管理能力 运动自我效能 中介效应 
分类号:R730.9
出版年·卷·期(页码):2024·52·第四期(587-594)
摘要:

目的:探讨社会支持在经外周置入中心静脉导管(PICC)癌症患者上臂运动自我效能与自我管理能力之间的中介效应,为采取针对性干预措施提高患者的上臂运动水平提供参考。方法:本研究为横断面调查,采用便利抽样法,选取广州市3所三甲医院2023年6—9月就诊的PICC置管癌症患者为研究对象,通过一般资料调查表、领悟社会支持量表、PICC置管癌症患者上臂运动自我效能量表、肿瘤患者PICC自我管理能力量表测量患者社会支持感、上臂运动自我效能及PICC自我管理能力水平。采用Pearson相关性分析探究三者间的相关性;采用Bootstrap中介效应检验法分析三者的中介效应关系。结果:调查共发放340份问卷,得到有效问卷330份。PICC置管癌症患者上臂运动自我效能、领悟社会支持与PICC自我管理能力三者均呈两两相关(r=0.832、0.806、0.763,均P<0.001),Bootstrap检验结果显示,领悟社会支持在上臂运动自我效能与PICC自我管理能力之间的中介效应值为0.407(95%CI 0.337~0.480),占总效应的49.27%。结论:领悟社会支持在上臂运动自我效能与PICC自我管理能力之间起部分中介效应,帮助PICC置管癌症患者丰富社会支持网络,是提升其上臂运动自我效能的有效途径之一。

Objective: To explore the mediating effect of perceived social support between upper arm exercise self-efficacy and self-management ability in cancer patients with peripherally inserted central catheter(PICC), and to provide reference for targeted interventions to improve patients' upper arm exercise level. Methods: This study was a cross-sectional survey, using a convenience sampling method, and selected cancer patients with PICC who attended one of the three tertiary hospitals in Guangzhou from June to September 2023 as the study subjects, and measured the patients' social support level, upper arm exercise self-efficacy and PICC self-management level through the general information questionnaire, the perceived social support scale, the upper arm exercise self-efficacy scale for cancer patients with PICC, and the cancer patients PICC self-management competency scale. Pearson correlation analysis was used to investigate the correlation between the three scales; Bootstrap mediation effect test was used to analyse the mediation effect relationship between the three scales. Results: A total of 340 questionnaires were distributed, and 330 valid questionnaires were obtained. Upper arm exercise self-efficacy, perceived social support and PICC self-management competency of cancer patients with PICC were correlated in a two-by-two manner(r=0.832, 0.806, 0.763,all P<0.001). Bootstrap test results showed that the mediating effect value of perceived social support between upper arm exercise self-efficacy and PICC self-management competency was 0.407(95%CI 0.337-0.480), accounting for 49.27% of the total effect. Conclusion: Perceived social support plays a partial mediating effect between upper arm exercise self-efficacy and PICC self-management ability, helping PICC-intubated cancer patients to enrich their social support network is one of the effective ways to enhance their upper arm exercise self-efficacy.

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