Luszczynska Aleksandra, Sarkar Yagnaseni, Knoll Nina
University of Sussex, Department of Psychology, Falmer, BN1 9QH, United Kingdom.
Patient Educ Couns. 2007 Apr;66(1):37-42. doi: 10.1016/j.pec.2006.10.002. Epub 2006 Nov 9.
The study investigated whether received social support, self-efficacy, and finding benefits in disease are related to physical functioning and adherence to antiretroviral medication among men and women infected with HIV.
Data were collected among 104 patients of three HIV clinics in India. The measures included general self-efficacy scale, Berlin social support scales, questionnaire on taking antiretroviral medication, and SF-20 (physical functioning).
The results of path analysis and mediation analysis revealed that finding benefits and self-efficacy were directly related to both adherence and physical functioning. Additionally, finding benefits mediated the relation between patients' self-efficacy and adherence as well as physical functioning. Although received support was unrelated to adherence directly, effects of received support on adherence were mediated by self-efficacy.
Besides personal and social resources, benefit finding was related to better adherence to antiretroviral medication.
Identifying patients receiving low social support, with weak general self-efficacy and finding no benefits in being diagnosed with HIV may help to elicit those people who are at risk for poorer adherence and physical functioning.
本研究调查了接受的社会支持、自我效能感以及在疾病中发现益处是否与感染艾滋病毒的男性和女性的身体功能及抗逆转录病毒药物依从性有关。
在印度三家艾滋病毒诊所的104名患者中收集数据。测量指标包括一般自我效能量表、柏林社会支持量表、抗逆转录病毒药物服用问卷以及SF - 20（身体功能）。
路径分析和中介分析结果显示，发现益处和自我效能感与依从性和身体功能均直接相关。此外，发现益处介导了患者自我效能感与依从性以及身体功能之间的关系。虽然接受的支持与依从性无直接关联，但接受的支持对依从性的影响通过自我效能感介导。
除了个人和社会资源外，发现益处与更好地坚持抗逆转录病毒药物治疗有关。
识别出社会支持低、一般自我效能感弱且在被诊断为艾滋病毒后未发现益处的患者，可能有助于找出那些依从性差和身体功能不佳风险较高的人群。
