自我概念、社会支持和抑郁对糖尿病患者生活质量的影响

Indriyati Indriyati, E. Purwandari
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引用次数: 0

摘要

背景:糖尿病是一种无法治愈的疾病,但可以从生理和心理上加以控制。大多数糖尿病患者对病情的恢复非常悲观。目的:本研究旨在探讨1)抑郁作为自我概念变量与社会支持对糖尿病患者生活质量的中介变量,2)抑郁自我概念的作用,3)社会支持对抑郁的作用,4)抑郁对生活质量的作用。方法:本研究以在Moewardi Surakarta医院就诊的253例糖尿病患者为研究对象。本研究的抽样为目的抽样。数据收集采用贝克抑郁量表(BDI)、田纳西自我概念量表(TSCS)、Hersarling糖尿病家庭支持量表(HDFSS)和世界健康组织生活质量量表(WHOQOL)。数据分析采用通径分析法(path analysis),并通过sobel检验加强。结果:研究表明,自我概念、社会支持和抑郁对糖尿病患者的生活质量存在相关性,其特征为自我概念的p值为0.002,社会支持、抑郁和生活质量的p值为0000。通径分析结果表明,抑郁在自我概念与生活质量之间具有中介作用,在社会支持与生活质量之间具有中介作用。这一结果通过sobel检验得到加强,其值> 1.98,显著性水平为5%。结论:抑郁在自我概念与生活质量之间具有中介作用,在社会支持与生活质量之间具有中介作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship Of Self-Concept, Social Support And Depression On The Quality Of Life In Diabetes Mellitus
Background: Diabetes mellitus is a disease that cannot be cured but can be managed both physically and psychologically. The majority of DM patients are very pessimistic about the recovery of their illness. Purpose: This study aims to find out 1) the role of depression as a mediator variable between self-concept variables and social support for the quality of life of DM patients, 2) the role of self-concept of depression, 3) the role of social support against depression and 4) the role of depression in quality of life. Methods: This study was 253 patients with diabetes mellitus at hospital dr. Moewardi Surakarta. Sampling in this study was purposive sampling. Data collection used the Beck Depression Inventory (BDI) questionnaire, Tennese Self Concept Scale (TSCS), the Hersarling Diabetes Family Support Scale (HDFSS) and the Word Health Organization Quality of Life (WHOQOL). Data analysis used path analysis method (path analysis) and strengthened by sobel test test. Results: The study showed that there was a correlation between self-concept, social support and depression on the quality of life of patients with diabetes mellitus which was characterized by the p-value of self-concept of 0.002, p value of social support, depression and quality of life of 0,000. The results of path analysis show that depression is able to be a mediator between self-concept and quality of life and the mediterator between social support for quality of life. this result is reinforced by the sobel test showing a value of> 1.98 with a significance level of 5%. Conclusion:  Depression can be a mediator between self-concept and quality of life and depression is also able to be a mediator between social support and quality of life.
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