应对方式在老年冠心病患者抗逆力与失志间的中介效应研究  

The mediating effect of coping styles between resilience and demoralization in elderly patients with coronary heart disease

作　　者：郭腾飞 王雷 朱琳 刘洋洋 桑丽 GUO Tengfei;WANG Lei;ZHU Lin;LIU Yangyang;SANG Li(Catheter Room,Taihe Traditional Chinese Medicine Hospital Affiliated to Anhui University of Chinese Medicine,Fuyang 236600,China)

机构地区：[1]安徽中医药大学附属太和中医院导管室,阜阳市236600

出　　处：《护理管理杂志》2025年第4期363-368,共6页Journal of Nursing Administration

摘　　要：目的探讨老年冠心病患者抗逆力对失志的影响,并分析应对方式在其抗逆力与失志间的中介效应。方法采用一般资料调查表、Connor-Davidson韧性量表、简易应对方式问卷和中文版失志量表对238例老年冠心病患者进行问卷调查。结果老年冠心病患者抗逆力得分为(52.58±7.26)分,积极应对得分为(22.27±4.36)分,消极应对得分为(13.39±2.47)分,失志得分为(43.62±6.74)分。老年冠心病患者抗逆力与消极应对、失志均呈负相关(r_(1)=-0.587,r_(2)=-0.922;P<0.01),与积极应对呈正相关(r=0.656,P<0.01);失志与积极应对呈负相关(r=-0.854,P<0.01),与消极应对呈正相关(r=0.669,P<0.01)。积极应对和消极应对在老年冠心病患者抗逆力与失志间发挥部分中介效应,分别占总效应的22.49%、19.77%。结论老年冠心病患者失志水平有待降低,医务人员应当充分重视此类患者心理健康水平的品质建设,可以从积极心理学方面入手,进行多学科综合干预及管理,以改善疾病结局。Objective To explore the impact of resilience on demoralization and investigate the mediate role of coping styles in the relationship between resilience and demoralization in elderly patients with coronary artery disease(CAD).Methods A total of 238 elderly patients with CAD were selected.General Information Questionnaire,Connor-Davidson Resilience Scale,Simplified Coping Style Questionnaire,and Demoralization Scale Mandarin Version were used for investigation.Results The average scores of resilience was(52.58±7.26),the average scores of positive coping style was(22.27±4.36),the average scores of negative coping was(13.39±2.47),and the scores of demoralization was(43.62±6.74).Resilience in elderly patients with CAD was negatively correlated with negative coping(r=-0.587,P<0.01)and demoralization(r=-0.922,P<0.01),while positively correlated with positive coping(r=0.656,P<0.01).Demoralization was negatively correlated with positive coping(r=-0.854,P<0.01)and positively correlated with negative coping(r=0.669,P<0.01).Positive coping and negative coping played a partial mediating effect between resilience and demoralization.Their mediating effects were 22.49%and 19.77%,respectively.Conclusion The level of demoralization in elderly patients with CAD need to be reduced.Medical staff should pay full attention to the psychological condition in elderly patients with CAD.Multidisciplinary integrated intervention and management should be conducted to improve the outcome of the disease.

关 键 词：冠心病 老年人 失志 抗逆力 应对方式 中介效应 

分 类 号：R47[医药卫生—护理学] R541.4[医药卫生—临床医学]