J Assoc Nurses AIDS Care. 2018 Jul-Aug;29(4):580-591. doi: 10.1016/j.jana.2018.02.001. Epub 2018 Feb 9.
We examined whether social support moderated communication and self-management, and tested whether self-management mediated communication, instrumental and emotional social support (ISS, ESS), and health-related quality of life (HRQOL) in Korean people living with HIV (PLWH). A cross-sectional research design using a self-reported survey questionnaire was conducted. Data for 205 PLWH were collected at the outpatient divisions of seven hospitals. HRQOL was positively associated with communication, ISS, ESS, and self-management. ESS moderated the relationship between communication and self-management through a significant interaction with communication. Johnson-Neyman analysis indicated that the interaction effect of ESS was significant at the range from 4 to 14.4. However, the ISS did not moderate the relationship between communication and self-management. Self-management mediated the relationship between communication, ESS, and HRQOL. The findings suggest that nursing interventions should be focused on providing interactive communication and ESS to improve self-management and HRQOL of PLWH.
我们考察了社会支持是否能调节沟通和自我管理，并检验了自我管理是否在韩国艾滋病毒感染者（PLWH）中中介沟通、工具性和情感性社会支持（ISS、ESS）以及健康相关生活质量（HRQOL）。采用自我报告问卷调查的横断面研究设计。在七家医院的门诊部门收集了 205 名 PLWH 的数据。HRQOL 与沟通、ISS、ESS 和自我管理呈正相关。ESS 通过与沟通的显著交互作用调节了沟通和自我管理之间的关系。约翰逊-内曼分析表明，ESS 的交互作用在 4 到 14.4 的范围内显著。然而，ISS 并没有调节沟通和自我管理之间的关系。自我管理中介了沟通、ESS 和 HRQOL 之间的关系。研究结果表明，护理干预应该集中在提供互动沟通和 ESS 上，以改善 PLWH 的自我管理和 HRQOL。
