基于主-客体互倚模型探讨老年慢性心力衰竭患者及照顾者二元应对对焦虑抑郁情绪的影响  

Exploring the impact of binary coping strategies on anxiety and depression in elderly patients with chronic heart failure and caregivers based on a subject object interdependence model

作　　者：万佳[1] 陈茜 WAN Jia;CHEN Qian(Department of Cardiology,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330000,China)

机构地区：[1]南昌大学第二附属医院心内一科,江西南昌330000

出　　处：《中国当代医药》2025年第8期29-32,共4页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2020B0055)。

摘　　要：目的基于主客体互倚模型探讨老年慢性心力衰竭(CHF)患者和照顾者的二元应对对焦虑抑郁情绪的影响,以便构建一个全新视角进行干预措施的设计和实施。方法通过便利抽样法,选取2021年3月至2024年3月在南昌大学第二附属医院治疗的300对老年CHF患者和照顾者作为研究对象,调查通过二元应对量表、医院焦虑和抑郁量表和一般资料问卷进行。结果老年CHF患者和照顾者的二元应对均处于中等水平,照顾者二元应对得分高于老年CHF患者,差异有统计学意义(P<0.05)。患者有35.00%存在焦虑,38.67%存在抑郁,照顾者有30.33%存在焦虑,33.00%存在抑郁。就主体效应而言,老年CHF患者及照顾者的二元应对与自身焦虑抑郁情绪负相关;就客体效应而言,老年CHF患者及照顾者的二元应对也会负向影响对方的焦虑抑郁情绪。结论老年CHF患者及其照顾者的二元应对与自身及对方的焦虑抑郁情绪密切相关。因此,护理人员在制订干预措施时,应将患者和照顾者视为一个共同体,以提供更全面和有效的支持。Objective To explore the effects of dichotomous coping on anxiety and depression in elderly chronic heart failure(CHF)patients and caregivers based on the subject-object reciprocity model,in order to construct a new perspective for intervention design and implementation.Methods Three hundred pairs of elderly CHF patients and caregivers treated in the Second Affiliated Hospital of Nanchang University from March 2021 to March 2024 were selected as the research objects by convenience sampling method,and the survey was conducted through the dyadic coping inventory,hospital anxiety and depression scale,and general information questionnaire.Results The binary coping styles of elderly CHF patients and caregivers were both at medium levels,The caregiver's binary coping score was higher than that of elderly CHF patients,and the difference was statistically significant(P<0.05).Anxiety was present in 35.00%of patients and depression in 38.67%,while caregivers were anxious in 30.33%and depressed in 33.00%.In terms of the main effect,the binary coping strategies of elderly CHF exhausted patients and caregivers are negatively correlated with their own anxiety and depression;in terms of object effects,the binary coping strategies of elderly CHF patients and caregivers also negatively affected each other's anxiety and depression.Conclusion Dichotomous coping in elderly CHF patients and their caregivers is strongly associated with their own and each other's anxiety and depression.Therefore,caregivers should view patients and caregivers as a community when developing interventions to provide more comprehensive and effective support.

关 键 词：老年慢性心力衰竭 主客体互倚模型 二元应对 焦虑抑郁 

分 类 号：R541[医药卫生—心血管疾病]