Clinical Research
Status quo and influencing factors of self-management of depression in community residents based on structural equation model
Cai Suli, Yang Shuxia, Li Jinfeng, Chen Fuyin, Wu Dongmei
Published 2021-09-06
Cite as Chin J Mod Nurs, 2021, 27(25): 3472-3476. DOI: 10.3760/cma.j.cn115682-20210129-00481
Abstract
ObjectiveTo explore the current status and influencing factors of self-management of depression in community residents, so as to provide clues and basis for promoting the mental health of community residents.
MethodsFrom June to August 2020, the residents of a community in Jining city in Shandong Province were selected as the survey objects, and 458 permanent residents were selected by simple random sampling method. The self-designed general data questionnaire, Depression Self-management Scale, General Self-Efficacy Scale (GSES) , Simple Coping Style Questionnaire (SCSQ) and Social Support Rating Scale (SSRS) were used to conduct cross-sectional survey, and structural equation was used to analyze the influencing factors of depression self-management of community residents. A total of 458 questionnaires were sent out and 443 were effectively received, with the effective recovery rate of 96.72%.
ResultsThe depression self-management score of 443 community residents was (32.72±5.72) , GSES score was (23.47±5.12) , score of positive coping in SCSQ (2.07±0.51) , score of negative coping in SCSQ was (1.14±0.43) and total score of SSRS (32.89±3.43) . The structural equation model showed that the total effects of self-efficacy, positive coping, negative coping and social support on self-management of depression in community residents were respectively 0.45, 0.42, -0.52 and 0.37 (P<0.05) .
ConclusionsThe depression self-management level of community residents is directly or indirectly affected by self-efficacy, coping styles and social support. When conducting mental health publicity and education in the community, it should be based on improving the self-efficacy of residents, coping styles and the level of social support to choose effective methods and content of publicity and education to promote the improvement of the self-management level of individual depression.
Key words:
Depression; Community residents; Self-management; Structural equation model
Contributor Information
Cai Suli
Health Management Center, Affiliated Hospital of Jining Medical University, Jining 272029, China
Yang Shuxia
Health Management Center, Affiliated Hospital of Jining Medical University, Jining 272029, China
Li Jinfeng
Department of Gastrointestinal Surgery, Affiliated Hospital of Jining Medical University, Jining 272029, China
Chen Fuyin
Department of Psychology, Affiliated Hospital of Jining Medical University, Jining 272029, China
Wu Dongmei
School of Nursing, Jining Medical University, 272067, China