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目的:探讨心力衰竭患者领悟社会支持与自我护理行为之间的关系,以及自我护理信心在领悟社会支持与自我护理行为关系间的中介作用。方法:采用方便取样,抽取127名在心内科住院治疗的心力衰竭患者,采用心力衰竭自我护理指数量表(SCHFI)和中文版医疗社会支持量表(MOS-SSS-C)进行调查。结果:(1)心力衰竭患者领悟社会支持的各因子与自我护理维持及自我护理管理均呈正相关(均P<0.05);(2)自我护理信心分别在实际的支持、情感的支持、正性的社会互动、信息及情绪的支持对自我护理维持的影响中发挥着完全中介作用;(3)自我护理信心分别在实际的支持、情感的支持、正性的社会互动、信息及情绪的支持对自我护理管理的影响中发挥着完全中介作用。结论:自我护理信心在心力衰竭患者领悟社会支持和自我护理行为之间起完全中介作用。
Objective: To explore the relationship between social support and self-care behavior in patients with heart failure and the mediating role of self-care confidence in understanding the relationship between social support and self-care behavior. METHODS: A total of 127 HF-hospitalized patients with heart failure were enrolled in this study. The heart failure self-care index scale (SCHFI) and the Chinese version of the Social Support Social Scale (MOS-SSS-C) were used for sampling. Results: (1) The factors of perceived social support in patients with heart failure were positively correlated with self-care and self-care management (all P <0.05); (2) Self-care confidence was positively correlated with actual support, (3) self-care confidence in the actual support, emotional support, positive social interaction, information and emotional support for the impact of self-care to maintain the full play an intermediary role; The impact of self-care management plays a complete intermediary role. Conclusions: Self-care confidence plays a complete mediating role in the perception of social support and self-care among patients with heart failure.