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.
ABSTRACT
Objective To explore the correlation of illness uncertainty and coping styles of patients with hepatitis B . Method A total of 254 patients with hepatitis B were assessed by Chinese version of Mishel′s uncertainty in illness scale ( MUIS ) and medical coping modes questionnaire ( MCMQ ) . Results The average score of illness uncertainty was at a higher level . The patients mainly used confrontation coping style. The illness uncertainty was positively correlated with the coping style of acceptance-resignation (P<0.05). Conclusion The illness uncertainty of patients with hepatitis B is at a higher level. Nursing intervention should be taken to reduce the degree of patients′uncertainty in illness and encourage them to take positive coping style.