相依关系在慢性心力衰竭患者家庭坚韧性与正性情绪、积极应对方式间的中介作用研究  

Mediating Effect of Mutuality between Family Resilience and Positive Emotion,Positive Copying Style in Patients with Chronic Heart Failure

作　　者：龚玥[1] 王萍[1] 郑雪梅[1] GONG Yue;WANG Ping;ZHENG Xuemei(Department of Cardiology,Nanjing First Hospital,Nanjing Medical University/Nanjing First Hospital,Nanjing 210000,China)

机构地区：[1]南京医科大学附属南京医院南京市第一医院心血管内科,江苏省南京市210000

出　　处：《实用心脑肺血管病杂志》2021年第12期47-52,共6页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：2016年度南京市医学科技发展项目(YKK16144)。

摘　　要：背景慢性心力衰竭(CHF)作为常见慢性病之一,在长期治疗过程中患者不仅应掌握一定的疾病知识和自我管理能力,还应具备正性情绪、积极应对方式等良好的心理素质。目前,国内对CHF患者家庭坚韧性、正性情绪、积极应对方式、相依关系间关系的研究较少。目的 探讨相依关系在CHF患者家庭坚韧性、正性情绪、积极应对方式间的中介作用,以期为制定提高CHF患者家庭坚韧性的护理干预方案提供参考依据。方法 选取2020年7月至2021年4月南京市第一医院收治的260例CHF患者为研究对象,采用一般资料调查表、家庭坚韧性量表(FHI)、正性负性情绪量表(PNAS)、简易应对方式问卷(SCSQ)、相依关系量表(MS)评估患者的一般资料、家庭坚韧性、正性情绪、积极应对方式及相依关系。采用Pearson相关分析探讨CHF患者FHI及其各维度、正性情绪量表、积极应对方式问卷、MS及其各维度得分间的相关性;采用Bootstrap自助抽样法对相依关系在CHF患者家庭坚韧性与正性情绪、家庭坚韧性与积极应对方式间的中介作用进行验证。结果 本研究CHF患者FHI、正性情绪量表、积极应对方式问卷、MS得分分别为(56.24±10.95)、(30.14±7.34)、(23.69±6.05)、(43.10±8.84)分。Pearson相关分析结果显示,CHF患者FHI及其各维度、正性情绪量表、积极应对方式问卷、MS及其各维度得分间均呈正相关(P <0.05)。相依关系在CHF患者家庭坚韧性与正性情绪、积极应对方式间均起部分中介作用(β值分别为0.449、0.396,P值均<0.001)。Bootstrap自助抽样法结果显示,相依关系在CHF患者家庭坚韧性与正性情绪、家庭坚韧性与积极应对方式间间接效应的路径系数的95%CI分别为(0.210,0628)、(0.487,0.536),提示相依关系在CHF患者家庭坚韧性与正性情绪、积极应对方式间的部分中介效应显著。结论 CHF患者家庭坚韧性处于中等水平,其与正性情绪、�Background Chronic heart failure(CHF)is one of the most common chronic diseases,and patients should not only master a certain levels of knowledge and self-management skills,but also have positive emotion and positive coping style during the long treatment process.At present,there is little research on the relationship among family resilience,positive emotion,positive coping style and mutuality in CHF patients in China.Objective To discuss mediating effect of mutuality between family resilience and positive emotion,positive copying style in patients with CHF,in order to provide a reference for making nursing intervention plan to improve family resilience in CHF patients.Methods Two hundred and sixty patients with CHF admitted to Nanjing First Hospital from July 2020 to April 2021 were selected as the research objects.General Information Questionnaire,Family Hardiness Index(FHI),Positive and Negative Affect Scale(PNAS),Simple Coping Style Questionnaire(SCSQ)and Mutuality Scale(MS)were used to investigate patients'general information,family resilience,positive emotion,positive copying style and mutuality.Pearson correlation analysis was used to discuss the correlation among scores of FHI and its dimensions,Positive Emotion Scale,Positive Coping Style Questionnaire,MS and its dimensions in CHF patients,and Bootstrap self-sampling method was used to verify the mediating effect of mutuality between family resilience and positive emotion,positive coping style in CHF patients.Results In this study,scores of FHI,Positive Emotion Scale,Positive Coping Style Questionnaire and MS of CHF patients was(56.24±10.95),(30.14±7.34),(23.69±6.05),(43.10±8.84),respectively.Pearson correlation analysis results showed that,scores of FHI and its dimensions,Positive Emotion Scale,Positive Coping Style Questionnaire,MS and its dimensions of CHF patients were positively correlated with each other(P<0.05).Mutuality played a partial mediating effect between family resilience and positive emotion,positive coping style in CHF patients(βval

关 键 词：心力衰竭 家庭坚韧性 正性情绪 积极应对方式 相依关系 

分 类 号：R541.62[医药卫生—心血管疾病]