糖尿病视网膜病变患者应对方式在家庭功能与心理复原力间的中介效应  

Mediating effect of coping style between family function and psychological resilience in patients with diabetes retinopathy

作　　者：谢桂丽 张佳佳[2] 巴南南[3] 万光明[1] Xie Guili;Zhang Jiajia;Ba Nannan;Wan Guangming(First Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Second Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Vascular Surgery/Endovascular Surgery(2),the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院眼一科,郑州450052 [2]郑州大学第一附属医院眼科二病区,郑州450052 [3]郑州大学第一附属医院大血管外科/腔内血管外科(2),郑州450052

出　　处：《中华现代护理杂志》2023年第30期4170-4174,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨糖尿病视网膜病变(DR)患者应对方式在家庭功能与心理复原力间的中介效应。方法采用便利抽样法,选取2021年9月—2022年8月在郑州大学第一附属医院就诊的310例DR患者为研究对象,采用基本资料调查表、简易应对方式问卷(SCSQ)、家庭功能评定量表(FAD)、心理复原力量表(CD-RISC)对患者进行调查,采用Pearson相关法分析DR患者应对方式、家庭功能、心理复原力的相关性,采用AMOS 21.0软件建立结构方程模型并进行中介效应验证。本研究共发放问卷310份,回收有效问卷297份,问卷有效回收率为95.81%(297/310)。结果297例DR患者SCSQ中积极应对维度得分为(14.79±3.58)分,消极应对维度得分为(16.37±4.02)分;FAD得分为(169.28±23.34)分;CD-RISC总分为(65.62±11.52)分。积极应对维度得分与FAD得分呈负相关(P<0.05),与CD-RISC总分及各维度得分均呈正相关(P<0.05);消极应对维度得分与FAD得分呈正相关(P<0.05),与CD-RISC总分及各维度得分均呈负相关(P<0.05);FAD得分与CD-RISC总分及各维度得分均呈负相关(P<0.05)。应对方式在家庭功能、心理复原力间起部分中介作用,中介效应占总效应的53.65%。结论DR患者家庭功能状况较差,心理复原力处于中等水平,患者应对方式更趋于消极应对。医护工作者应关注和改善患者家庭功能,促进患者积极应对疾病,提升家庭功能与心理复原力。Objective To explore the mediating effect of coping style between family function and psychological resilience in patients with diabetes retinopathy(DR).Methods From September 2021 to August 2022,310 DR patients who visited the First Affiliated Hospital of Zhengzhou University were selected as the study subject by convenience sampling.Patients were surveyed using the General Information Questionnaire,Simplified Coping Style Questionnaire(SCSQ),Family Assessment Device(FAD),and Connor-Davidson Resilience Scale(CD-RISC).Pearson correlation was used to analyze the correlation between coping style,family function,and psychological resilience in DR patients.AMOS 21.0 software was used to establish structural equation models and verify mediating effects.A total of 310 questionnaires were distributed,and 297 valid questionnaires were collected,and the effective response rate of the questionnaire was 95.81%(297/310).Results Among 297 DR patients,the positive coping dimension score in SCSQ was(14.79±3.58),while the negative coping dimension score was(16.37±4.02).the FAD score was(169.28±23.34).The total score of CD-RISC was(65.62±11.52).The score of the positive coping dimension was negatively correlated with the FAD score(P<0.05),and positively correlated with the total score and each dimension score of CD-RISC(P<0.05).The score of negative coping dimension was positively correlated with the score of FAD(P<0.05),and negatively correlated with the total score and each dimension score of CD-RISC(P<0.05).The FAD score was negatively correlated with the total score and each dimension score of CD-RISC(P<0.05).Coping styles played a partial mediating effect between family function and psychological resilience,with the mediating effect accounting for 53.65%of the total effect.Conclusions DR patients have poor family functional and moderate psychological resilience,and their coping styles tend to be negative.Medical and nursing staff should pay attention to and improve the family function of patients,promote their positive r

关 键 词：糖尿病视网膜病变 应对方式 家庭功能 心理复原力 中介效应 

分 类 号：R473.77[医药卫生—护理学]