急性冠脉综合征患者的知识、态度和信念水平在抑郁应对中的作用  

Effect of Depression Coping Style of Knowledge,Attitude and Beliefs on Patients with Acute Coronary Syndrome

作　　者：赵阳[1] 高晖[1] 冯晨秋[1] 刘佳佳[1] 娄凤兰[1] 

机构地区：[1]山东大学护理学院,山东济南250012

出　　处：《解放军护理杂志》2014年第8期1-5,共5页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨急性冠脉综合征(acute coronary syndrome,ACS)患者的知识、态度和信念水平在抑郁情绪和应对方式之间的中介效应,为ACS患者的健康教育提供理论依据。方法采用方便抽样法选取2012年6-9月在山东省济南市4所三级甲等医院心内科住院的ACS患者177例,采用一般资料问卷、患者健康问卷、ACS反应指数量表和特质应对方式问卷对患者进行调查。结果 ACS患者健康问卷平均得分为(4.72±4.72)分,应对方式中积极应对和消极应对的平均得分分别为(20.92±5.93)和(33.39±7.00)分,反应指数量表中知识、态度、信念各维度平均得分分别为(12.05±2.86)、(14.32±3.03)、(22.71±3.81)分。ACS患者抑郁、反应指数、应对方式之间存在相关性。知识水平在积极应对和抑郁中起到部分中介效应,在消极应对和抑郁中起到完全中介效应,中介效应依次为0.04和0.03,分别占总效应的35.74%和60.62%。结论在应对方式对抑郁情绪的作用中,有一部分是通过知识水平来实现的;因此,通过针对性的健康教育提高ACS患者的知识水平有利于患者采取积极应对的方式以缓解抑郁情绪。Objective To explore the mediating effect of coping style of knowledge,attitudes and beliefs depression among acute coronary syndrome patients.Methods Totally 177acute coronary syndrome（ACS）patients were randomly selected from four ClassⅢ GradeⅠ Hospitals in Jinan,Shandong Province from June to September 2012.They were surveyed by the demographic questionnaire,patient health questionnaire,acute coronary syndrome response index and trait coping style questionnaire.Results The average scores of patient health questionnaire was（4.72±4.72）.The average scores of positive coping styles and negative coping style were（20.92±5.93）and（33.39±7.00）respectively.The average scores of knowledge,attitude and belief scale of ACSRI were（12.05±2.86）,（14.32±3.03）and（22.71±3.81） respectively.There was a correlation among depression,response index and coping style.Knowledge partially mediate the relation between positive coping style and depression,while totally mediating the relation between negative coping style and depression,with the mediating effects being 0.04and 0.03,which accounted for 35.74%and 60.62% of total effect.Conclusion Knowledge level was partially reflected the effects of coping style on negative emotion.Thus,improving the level of knowledge in ACS patients through targeted health education is conductive to the application of positive coping style in order to ease depression.

关 键 词：急性冠脉综合征 知识 应对方式 抑郁 中介效应 

分 类 号：R541.4[医药卫生—心血管疾病] R395.1[医药卫生—内科学]