The mediating effects of self-efficacy between symptom experience and quality of life in patients with cirrhosis / 中国实用护理杂志

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.