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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (3): 7-11.doi: 10.16460/j.issn1008-9969.2022.03.007

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Mediating Effect of Self-efficacy between Social Support and Experiential Avoidance in Patients with Rheumatoid Arthritis

ZHOU Li-xue1, JIANG Yun-xia1, ZHOU Yun-ping1, FENG Hong-yan2, SUN Xue-xia2, YU Peng-li1   

  1. 1. School of Nursing, Qingdao University, Qingdao 266100, China;
    2. Dept. of Rheumatology and Immunology, Affiliated Hospital of Qingdao University, Qingdao 266500, China
  • Received:2021-06-17 Published:2022-03-04

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Abstract: Objective To To explore the mediating effect of self-efficacy between social support and experiential avoidance in patients with rheumatoid arthritis (RA). Methods From November 2020 to January 2021, 204 RA outpatients from a tertiary grade-A general hospital in Qingdao were selected as the subjects. The investigation was performed by using Social Support Rating Scale (SSRS), Arthritis Self-Efficacy Scale-8 (ASES-8) and Acceptance and Action Questionnaire-2nd Edition (AAQ-Ⅱ). Results The score of experiential avoidance, social support and self-efficacy in RA patients was 28.59±10.02, 35.49±7.35 and 6.25±1.64 respectively. Social support was negatively correlated with experiential avoidance (r=-0.316, P<0.001), and self-efficacy was negatively correlated with experiential avoidance (r=-0.554,P<0.001).The total effect of social support on experiential avoidance was -0.316(95%CI=-0.448~-0.185, P<0.001); the direct effect -0.156 (95%CI=-0.276~-0.036, P=0.011); the indirect effect -0.160 (95%CI=-0.247~-0.085), and the mediating effect accounted for 50.6%. Conclusion The level of experiential avoidance in RA patients is high while that of social support low. Social support and self-efficacy are both negative predictors of experiential avoidance. Social support can indirectly affect experiential avoidance through self-efficacy, suggesting that self-efficacy could be improved by more social support, so as to reduce the level of experiential avoidance in RA patients.

Key words: rheumatoid arthritis, experiential avoidance, social support, self-efficacy, mediating effect

CLC Number: 

  • R473.58
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