人际信任对老年高血压患者睡眠状况的影响：自尊和抑郁的链式中介作用  

Interpersonal trust on sleep quality of elderly patients with hypertension:the mediating role of self-esteem and depression

作　　者：付利婷 门瑞雪[1] 范志光[1] FU Li-ting;MEN Rui-xue;FAN Zhi-guang(Changchun University of Chinese Medicine,Changchun 130017,China)

机构地区：[1]长春中医药大学

出　　处：《现代预防医学》2020年第4期669-672,共4页Modern Preventive Medicine

基　　金：吉林省中医药科技联合基金项目（2018DZ04）

摘　　要：目的探讨人际信任对老年高血压患者睡眠状况的影响,以及自尊、抑郁的作用。方法采用信赖他人量表、自尊量表、抑郁量表和阿斯森失眠量表对60岁及以上818名老年高血压患者进行问卷调查。结果(1)老年高血压患者人际信任越高,睡眠状况越好(r=0.168,P<0.01),而抑郁程度越高,睡眠状况越差(r=0.440,P<0.01),高自尊则有利于睡眠状况的提升(r=-0.302,P<0.01);(2)自尊、抑郁在人际信任与睡眠状况间起着完全中介作用;(3)人际信任可以通过自尊、抑郁的链式中介作用对老年高血压患者的睡眠状况产生影响。结论提高老年高血压患者的人际信任,有利于保持较高水平的自尊,降低抑郁的出现,从而改善睡眠状况。Objective To explore the influence of interpersonal trust on sleep quality of elderly patients with hypertension,and the effects of self-esteem and depression.Methods 818 elderly people were conveniently investigated with Interpersonal trust Scale,Self-esteem Scale,Geriatric Depression Scale,Athens Insomnia Scale.Results(1)The higher the interpersonal trust of elderly patients with hypertension,the better sleep conditions(r=0.16&PvO.Ol),and the higher the degree of depression,the worse sleep conditions(r=0.440,PvO.Ol),the high levels of self-esteem advantageous to enhance sleep quality(r=-0.302,P<0.01).(2)Self-esteem and depression played a fully mediating role between interpersonal trust and sleep quality.(3)Interpersonal trust could influence sleep quality through the chain mediation of self-esteem and depression.Conclusion The high interpersonal trust can improve self-esteem level of elderly patients with hypertension,reduce depression level,and then affect sleep quality.

关 键 词：老年高血压患者 人际信任 自尊 抑郁 睡眠状况 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]