冠心病患者心理弹性在感知压力与睡眠质量关系间的中介作用  

The mediating effect of resilience on the relationship between perceived stress and sleep quality in patients with coronary heart disease

作　　者：赵玲玲[1] 马冬冬[2] 任雁北 栾晓嵘[1] Zhao Lingling;Ma Dongdong;Ren Yanbei;Luan Xiaorong(Nursing Department of Qilu Hospital of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院护理部,济南250012 [2]山东大学齐鲁医院心内科,济南250012

出　　处：《中国实用护理杂志》2018年第23期1761-1765,共5页Chinese Journal of Practical Nursing

基　　金：山东省自然科学基金（ZR2014HM075）

摘　　要：目的分析冠心病患者感知压力、心理弹性及睡眠质量的关系，并探讨心理弹性在感知压力与睡眠质量间的中介作用。方法选取2016年12月至2017年7月在心内科住院的231例冠心病患者，采用一般资料调查表、匹兹堡睡眠质量指数量表（PSQI）、感知压力量表（PSS）及心理弹性量表（CD-RISC-10）分别调查患者的一般情况、睡眠质量、感知压力及心理弹性。结果冠心病患者的PSQI得分为（7．2±2．8）分，其中71．4％（165／231）的患者PSQI评分〉5分，睡眠质量较差。心理弹性得分与PSS得分及PSQI得分呈负相关（r=-O．62、-0．43，P〈0．01），PSS得分与PSQI得分呈正相关（r=0．33，P〈0．01）。Bootstrap检验中介效应95％CI（0．130～0．319，P〈0，01）不包括零，说明心理弹性在感知压力与睡眠质量间存在中介效应，中介效应占总效应的百分比为56．1％。结论冠心病患者存在睡眠质量较差的问题，感知压力和心理弹性是影响睡眠质量的因素，心理弹性可以中介感知压力与睡眠质量的关系。Objective To analyze the relationship among perceived stress, resilience and sleep quality in patients with coronary heart disease, and to examine the mediating effect of resilience between perceived stress and sleep quality. Methods Totally 231 patients with coronaryheartdisease were selected. The Pittsburgh Sleep Quality Index （PSQI）, Perceived Stress Scale （PSS）, and 10-item Connor- Davidson Resilience Scale （CD-RISC-10） were used to assess the sleep quality, perceived stress and resilience respectively. Results The average scores of PSQI were （7.2 ＋ 2.8） points, and 71.4% （165/ 231） of the participants had sleep problems （PSQI 〉5）. CD-RISC-10 scores were negatively correlated with PSQI scores and PSS scores （r = -0.62,-0.43, P〈0.01）, and PSS scores were positively correlated with PSQI scores （r=-0.33, P〈0.01）. Furthermore, Bootstrap-generated 95%CI was （0.130-0.319, P〈0.01） and did not include 0, which indicated that resilience significantly mediated the relationship between perceived stress and sleep quality. The mediating effect size of resilience was 56.1%. Conclusion It suggests that patients with coronary heart disease have poor sleep quality. Perceived stress and resilience could affect sleep quality, and resilience could mediate the relationship between perceived stress and sleep quality.

关 键 词：弹性 心理 睡眠质量 感知压力 中介作用 冠心病 

分 类 号：R473.5[医药卫生—护理学]