Effects of self-efficacy, self-care behaviours on depressive symptom of Taiwanese kidney transplant recipients.
Effects of self-efficacy, self-care behaviours on depressive symptom of Taiwanese kidney transplant recipients.
复制标题
自我效能、自我照顾行为对台湾肾移植受者抑郁症状的影响。
DOI：
10.1111/j.1365-2702.2007.02035.x
复制
发表时间：
2008
影响因子：
4.2
通讯作者：
Y. Chiang
中科院分区：
文献类型：
--
作者：
L. Weng;Yu;Yi;Hsiu;Y. Chiang
旨在
本研究旨在探讨自我效能感对抑郁的影响，并探讨自我照顾行为的中介作用。
背景
抑郁症是肾移植受者的一个问题，会影响他们的生活质量。从其他关于慢性疾病的研究来看，自我效能和自我护理行为被认为是抑郁症状的潜在决定因素。然而，这些以前的研究都没有调查这些变量之间的关系，在肾移植受者。
设计
采用相关设计和立意抽样的横断面调查。
方法
177名接受过肾移植的人参加了会议。采用自填式问卷调查和病历审核收集资料。采用相关分析和分层线性回归方法对数据进行分析。
结果
抑郁症状平均分为8.61 ± 7.64。在这项研究的参与者中，32.8%的人的抑郁症状评分高于11分（表明抑郁症状从轻度到重度）。自我效能和自我照顾行为对抑郁症状有直接的负向影响。自我照顾行为在自我效能感与抑郁的关系中起部分中介作用。解释的总方差为23%。
结论
抑郁症状仍然是肾移植患者中需要解决的问题。自我效能及自我照顾行为较高的病人，其抑郁症状亦较低。研究结果支持自我效能感是抑郁症状的显著预测因子。
与临床实践的相关性
自我效能感是抑郁症状的一个强有力的和可改变的决定因素。我们应该设计干预措施，不仅关注自我护理行为的技能方面，而且关注那些与自我效能感有密切联系的方面。我们可以将社会认知理论所提出的自我效能提升策略融入肾移植照护计划中。
AIMS
The aim of this study was to examine the effect of self-efficacy on depression and to consider the mediating effect of self-care behaviour.
BACKGROUND
Depression is a problem for kidney transplant recipients and can compromise their quality of life. From other studies on chronic illnesses, self-efficacy and self-care behaviour have been considered to be potential determinants for depressive symptoms. However, none of these previous studies have investigated the relationships among these variables in kidney transplantation recipients.
DESIGN
A cross-sectional survey employing correlation design and purposive sampling was used.
METHODS
One hundred and seventy-seven persons who had received a kidney transplant participated. A self-administrated questionnaire and a medical record audit were used to collect data. The data were analysed using correlation and hierarchical linear regression methods.
RESULTS
The average score of depressive symptoms was 8.61 SD 7.64. Among the participants in the study, 32.8% had scores of depressive symptoms higher than 11 (indicating mild to severe symptoms of depression). Self-efficacy and self-care behaviour had direct negative effects on depressive symptoms. Self-care behaviour had partial mediating effect on the relationship between self-efficacy and depression. Total variance explained was 23%.
CONCLUSION
Depressive symptoms are still a problem that need to be addressed among kidney transplantation patients. Patients who have higher self-efficacy and higher self-care behaviour will have lower depressive symptoms. Our results support that self-efficacy is the significant predictor of depressive symptoms.
RELEVANCE TO CLINICAL PRACTICE
Self-efficacy is a powerful and modifiable determinant of depressive symptoms. We should design interventions that focus not only on the skill aspects of self-care behaviour but also on those that have a strong connection with self-efficacy. We could incorporate the self-efficacy-enhanced strategies as proposed by social cognitive theory into the kidney transplantation care programme.
影响因子：
3
作者：
Lorig, KR;Sobel, DS;Holman, HR
通讯作者：
Holman, HR
预测肾移植后抑郁症的变化：患者应对偏好的影响。
DOI：
--
发表时间：
2000
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association.
影响因子：
--
作者：
Christensen,AJ;Ehlers,SL;Raichle,KA;Bertolatus,JA;Lawton,WJ
通讯作者：
Lawton,WJ