急性脑梗死患者介入治疗后心理韧性与益处发现、健康行为的相关性及中介效应  

Correlation and mediating effect of psychological resilience with benefit discovery and health behavior in patients with acute cerebral infarction after interventional therapy

作　　者：张燕萍 许亚莉 赵会连[2] ZHANG Yan-ping;XU Ya-li;ZHAO Hui-lian(Department of Cardiovascular Medicine,the First People's Hospital of Pingdingshan,Pingdingshan 467000,Henan,CHINA)

机构地区：[1]平顶山市第一人民医院介入科,河南平顶山467000 [2]平顶山市第一人民医院心血管内科,河南平顶山467000

出　　处：《海南医学》2024年第18期2707-2711,共5页Hainan Medical Journal

基　　金：2022年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20223040)。

摘　　要：目的探讨急性脑梗死(ACI)患者介入治疗后心理韧性与益处发现、健康行为的相关性及中介效应。方法选取2022年1月至2023年8月就诊于平顶山市第一人民医院的320例介入治疗后的ACI患者作为研究对象。采用一般资料调查问卷、心理弹性量表(CD-RISC)、益处发现量表(BFS)、健康促进生活方式量表Ⅱ(HPLP-Ⅱ)调查患者的一般资料、心理韧性、益处发现、健康行为。采用Pearson相关性分析ACI患者心理韧性与益处发现、健康行为的相关性;采用Process插件的Model-4分析ACI患者介入治疗后的心理韧性在益处发现与健康行为间的中介效应,Bootstrap法检验中介效应。结果本次共发问卷320份,回收有效问卷312份,有效率为97.50%。312例ACI患者介入治疗后的CD-RISC评分为(62.49±6.18)分,BFS评分为(52.32±8.14)分,HPLP-Ⅱ评分为(128.12±10.67)分;Pearson相关性分析结果显示,心理韧性与益处发现、健康行为均呈正相关(r1=0.518,r2=0.526,P<0.001),益处发现与健康行为也呈正相关(r=0.623,P<0.001);心理韧性在益处发现和健康行为之间发挥部分中介作用,直接效应和中介效应分别占总效应的68.36%和31.64%。结论ACI患者介入治疗后的心理韧性、益处发现、健康行为三者间存在一定相关性,且心理韧性在益处发现与健康行为间可发挥中介效应,临床工作中可协助患者提升心理韧性,强化益处发现能力,促进健康行为。Objective To investigate the correlation and mediating effect of psychological resilience with benefit discovery and health behavior in patients with acute cerebral infarction(ACI)after interventional therapy.Methods A total of 320 ACI patients who underwent interventional therapy and were admitted to the First People's Hospital of Pingdingshan City from January 2022 to August 2023 were selected as the study subjects.General data questionnaire,ConnorDavidson Resilience Scale(CDRISC),Benefit Finding Scale(BFS),Health Promotion Lifestyle ScaleⅡ(HPLPⅡ)were used to investigate general data,psychological resilience,benefit discovery,and health behaviors.Pearson correlation was used to analyze the correlation of psychological resilience with benefit discovery and health behavior in ACI patients.Moreover,Model4 of Process plugin was used to analyze the mediating effect of psychological resilience in benefit discovery and health behavior after interventional therapy in ACI patients,and the mediating effect was tested by Bootstrap method.Results A total of 320 questionnaires were distributed,and 312 valid questionnaires(97.50%)were collected.The mental toughness CDRISC score was(62.49±6.18)points in 312 ACI patients after interventional therapy,the BFS score was(52.32±8.14)points,and HPLPⅡscore was(128.12±10.67)points.Pearson correlation analysis showed that psychological resilience was positively correlated with both benefit discovery and healthy behaviors(r1=0.518,r2=0.526,P<0.001),and benefit discovery was also positively correlated with healthy behaviors(r=0.623,P<0.001).Psychological resilience played a partial mediating role between benefit discovery and healthy behaviors,with direct and mediating effects accounting for 68.36%and 31.64%of the total effect,respectively.Conclusion There is a correlation between psychological resilience and benefit discovery,healthy behaviors in patients with ACI after interventional therapy,and psychological resilience plays a mediating role between benefit discovery and heal

关 键 词：急性脑梗死 介入治疗 心理韧性 益处发现 健康行为 中介效应 

分 类 号：R473.74[医药卫生—护理学]