老年冠心病PCI术后患者目标承诺、应对方式在家庭功能与感知控制间的中介作用  

Analysis of the mediating effect of goal commitment and coping style between family function and perceived control in elderly patients with coronary heart disease after PCI

作　　者：王祚传 李中清[2] 宋江艳 陈秀云 秦宇 杨洁 陈乐 毕清泉[1,3] WANG Zuo-chuan;LI Zhong-qing;SONG Jiang-yan;CHEN Xiu-yun;QIN Yu;YANG Jie;CHEN Le;BI Qing-quan(School of Nursing,Anhui Medical University,Hefei 230032,China;Department of Cardiology,High-tech District of the First Affiliated Hospital of Anhui Medical University,Hefei 230601,China;School of Clinical Medicine,Anhui Medical University,Hefei 230088,China;Department of Cardiology,Subei People’s Hospital,Yangzhou 225001,China;Department of Oncology,Anhui Cancer Hospital,Hefei 230031,China)

机构地区：[1]安徽医科大学护理学院,合肥230032 [2]安徽医科大学第一附属医院高新院区心内科,合肥230601 [3]安徽医科大学临床医学院,合肥230088 [4]苏北人民医院心内科,扬州225001 [5]安徽省肿瘤医院肿瘤内科,合肥230031

出　　处：《中华疾病控制杂志》2021年第12期1476-1480,共5页Chinese Journal of Disease Control & Prevention

基　　金：安徽省中央引导地方科技发展专项项目(S2019b11030024)。

摘　　要：目的分析老年冠心病经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者目标承诺、应对方式在家庭功能与感知控制之间的中介作用。方法采用一般资料调查表、修订版控制态度量表(Control Attitudes Scale-Revised,CAS-R)、家庭关怀度指数问卷(Adaptation、Partnership、 Growth、 Affection、Resolve,APGAR)、目标承诺自我报告量表(HWK)、简易应对方式问卷(Simplified Cping Style Questinnaire,SCSQ)对308例老年冠心病PCI术后患者进行调查。结果老年冠心病PCI术后患者感知控制得分为(27.35±3.44)分,家庭功能得分为(7.83±1.48)分,目标承诺得分为(18.57±2.89)分,积极应对得分为(21.96±2.46)分。家庭功能、积极应对均能正向预测感知控制(均有P<0.01);目标承诺、积极应对在家庭功能与感知控制的关系中起链式中介作用(β=0.204,95%CI:0.127~0.269),总中介效应占总效应的46.90%。结论家庭功能不仅直接影响其感知控制,还可以通过积极应对的中介作用,以及目标承诺和积极应对的链式中介作用间接影响其感知控制。Objective To analyze the mediating effect of goal commitment and coping style between family function and perceived control in elderly patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A questionnaire survey was conducted among 308 elderly patients with coronary heart disease after PCI using the General Information Questionnaire,the Control Attitudes Scale-Revised(CAS-R),the Family Adaption,Partnership,Growth,Affection,Resolve Index(APGAR),the Goal Commitment Self-report Scale(HWK),and the Simplified Coping Style Questionnaire-Postive Coping(SCSQ).Results The perceived control score was(27.35±3.44) points,family function score was(7.83±1.48) points,goal commitment score was(18.57±2.89) points,and positive response score was(21.96±2.46) points,respectively.Family function,positive coping were positively predictive of perceived control(all P<0.01);Goal commitment and positive coping had a chain mediating effect between family function and perceived control(β=0.204,95% CI:0.127-0.269,P<0.01),the mediating effect accounted for 46.90% of the total effect.Conclusions The family function can directly affect patient’s perceived control.Also,it indirectly affects their perceived control through the mediating effect of positive coping and the chain mediating effect of goal commitment and positive coping.

关 键 词：冠心病 经皮冠状动脉介入治疗 感知控制 家庭功能 目标承诺 

分 类 号：R473.5[医药卫生—护理学]