控制感对中老年脑卒中患者医学应对方式的影响:反刍思维的中介作用  

Effects of sense of control on medical coping modes of middle-aged and elderly stroke patients:the mediating role of rumination

作　　者：郑闪闪 门瑞雪[1] 李菲[1] 范志光[1] ZHENG Shanshan;MEN Ruixue;LI Fei;FAN Zhiguang(Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学,长春130117

出　　处：《长春中医药大学学报》2020年第2期305-308,共4页Journal of Changchun University of Chinese Medicine

基　　金：吉林省中医药科技联合基金项目(2018DZ04)。

摘　　要：目的探讨控制感、反刍思维与中老年脑卒中患者医学应对方式之间的关系及内在作用机制。方法采用控制感量表(C-SCS)、医学应对方式量表(MCMQ)、反刍思维量表(RRS)对40岁以上中老年脑卒中患者312人进行问卷调查。结果控制感与反刍思维、屈服之间呈负相关(r=-0.377、-0.420,P<0.001),反刍思维与屈服之间呈正相关(r=0.400,P<0.001);控制感不仅可以直接影响中老年脑卒中患者的医学应对方式中屈服维度,95%置信区间为[-0.419,-0.209],也可以通过反刍思维的部分中介作用对屈服产生影响,95%置信区间为[-0.165,-0.056]。结论反刍思维在控制感对中老年脑卒中患者医学应对方式中屈服维度的影响中起部分中介作用。Objective To explore the relationship among sense of control,rumination and medical coping modes of middle-aged and elderly stroke patients.Methods A total of 312 middle-aged and elderly stroke patients over 40 years old were investigated with the Chinese-Sense of Control Scale (C-SCS),Medical Coping Modes Questionnaire (MCMQ) and Rumination Response Scale (RRS).Results The sense of control was negatively correlated with rumination and yielding dimension (r=0.377,-0.420,P<0.001).There was a positive correlation between rumination and yielding dimension (r=0.400,P<0.001).The sense of control not only directly affect the yielding dimension of medical coping codes in middle-aged and elderly stroke patients,with 95% CI of [-0.419,-0.209],but also rumination played a partial mediating role,with 95% CI of [-0.165,-0.056].Conclusion Rumination played a partial mediating role in the sense of control and the yielding dimension of medical coping codes in middle-aged and elderly stroke patients.

关 键 词：控制感 医学应对方式 反刍思维 脑卒中 中老年人 

分 类 号：R743.3[医药卫生—神经病学与精神病学]