正向情緒與病人參與：自我效能與他人效能之中介效果

Patient Positivity and Participation: The Mediating Effects of Self-Efficacy and Other-Efficacy

陳靜誼(Ching-I Chen) ； 徐世同(Shih-Tung Shu) ； 陳雅珍(Ya-Chen Chen)

《澄清醫護管理雜誌》 15卷1期 (2019/01) Pp. 31-42

摘要

目的：本研究以正向情緒之擴展與建構理論出發，結合三元效能信念模式中的自我效能與他人效能，探討病人參與的前置因素及分析病人參與對互動服務品質的影響，並驗證自我效能、他人效能在正向情緒與病人參與間的中介效果。方法：採用橫斷式研究設計；以南部某地區醫院之婦科門診病人為研究對象，有效問卷共計481份；研究資料以偏最小平方法進行模式分析及假說驗證，以及Sobel test作為中介效果檢驗。結果：病人的正向情緒正向影響病人參與；自我效能在正向情緒與病人參與具有部分中介效果，他人效能在正向情緒與病人參與則具有完全中介效果；病人參與正向影響互動服務品質。整體模式分析顯示，自我效能與他人效能完全中介正向情緒對病人參與的直接效果。結論：本研究建議醫療機構管理者在擬定病人參與的策略時，適度給予病人正向的情緒支持、強化其自我效能，以及對醫師專業能力之他人效能，進而增進病人參與行為，提升醫病間的互動服務品質。

關鍵字

病人參與 ； 正向情緒 ； 自我效能 ； 他人效能

並列摘要

Purposes: This study employs the broaden-and-build theory of positive emotions combined with the concept of self-efficacy and other-efficacy in the tripartite efficacy framework to examine the factors for patient participation, analyze the effects of patient participation on interactive service quality, and validate the mediating effect of self-efficacy and other-efficacy in positive emotions and patient participation. Methods: This cross-sectional study collected 481 valid questionnaires from outpatients of the gynecology department at a local hospital in southern Taiwan. The data were analyzed using the partial least squares method. The Sobel test was applied to determine the mediating effect. Results: Empirical results confirmed that positive emotions affect patient participation. In addition, self-efficacy showed partial mediating effects between positive emotions and patient participation, whereas other-efficacy showed complete mediating effects between positive emotions and patient participation. Overall model analysis revealed that self-efficacy and other-efficacy can completely mediate the direct effects of positive emotions on patient participation. Conclusions: We recommend that healthcare managers draft patient participation strategies that provide appropriate positive emotional support to patients as well as increase self-efficacy in patients and other-efficacy in medical professionals. These measures may improve participation behavior in patients and the interactive service quality between physicians and patients.

並列關鍵字

Patient participation ； Positive emotions ； Self-efficacy ； Other-efficacy