The mediating effects of hope between disease self-management and quality of life / 中国实用护理杂志

ABSTRACT

Objective:To explore the mediating effects of hope between disease self-management and quality of life.Methods:By convenient sampling, 347 Parkinson inpatient were analyzed by using Herth Hope Index (HHI) and Chronic Disease Self-Management Study Measures (CDSMSM) and 12-item Short Form health survey (SF-12) and the self-designed General Condition Questionnaire, and proposes a mediating model and tests the impacts of hope on disease self-management and quality of life.Results:The score of HHI was 28.11±4.59, and the score of CDSMSM was 5.52±1.59, and the score of physical component summary physical component summary(PCS) was 51.64±21.09, and the score of mental component summary(MCS) was 71.42±18.35. The scores of HHI significantly was positively correlated with the scores of CDSMSM ( r value was 0.358, P<0.01)and the scores of PCS ( r value was 0.437, P<0.01) and MCS ( r value was 0.514, P<0.01), and there was positive correlation between the scores of CDSMSM and the scores of PCS ( r value was 0.334, P<0.01) and MCS ( r value was 0.326, P<0.01). The mediating model had high degree of fitting, and level of path had statistical significance ( P<0.01). Hope was the mediator between disease self-management and quality of life. Disease self-management had direct effects ( β value was 0.221) on quality of life and indirect effects ( β value was 0.176) through hope. Conclusions:Disease self-management was a direct predictor of quality of life, and hope had mediating effects between disease self-management and quality of life. We should pay enough attention to the effects of disease self-management ability and mental health of patients with Parkinsonism in clinical nursing, and increased the care to the Parkinson's inpatient with emotion disorder, while promote and develop their coping ability, propaganda and psychological guidance, so that improves mental health of the Parkinson inpatient and help them positive coping, and maintain good mental health status, and improve the quality of life.