心理一致感与疾病接受度在PCI术后患者疾病进展恐惧与重返工作准备度间的链式中介效应分析  

Chain mediation effect analysis of psychological consistency and disease acceptance on the fear of disease progression and return-to-work readiness in post-PCI patients

作　　者：冯青静 刘玉春 李彬[1] 赵光珍 周婷婷 祝晓纯 Feng Qingjing;Liu Yuchun;Li Bin;Zhao Guangzhen;Zhou Tingting;Zhu Xiaochun(Department of Cardiology,Affiliated Hospital of Jining Medical University,Jining 272000,China)

机构地区：[1]济宁医学院附属医院心内科,济宁272000

出　　处：《中华现代护理杂志》2025年第13期1768-1773,共6页Chinese Journal of Modern Nursing

基　　金：济宁市重点研发计划(软科学项目)(2023JNZC171)。

摘　　要：目的探讨疾病进展恐惧对经皮冠状动脉介入治疗(PCI)术后患者重返工作准备度的影响以及心理一致感与疾病接受度在两者中的链式中介作用。方法采用便利抽样法,选取于2023年2月—2024年5月在济宁医学院附属医院行PCI的198例患者为研究对象。采用一般资料调查表、重返工作准备度量表、恐惧疾病进展简化量表、疾病接受度量表、心理一致感量表对患者进行调查。结果共发放问卷198份,回收有效问卷178份,问卷有效回收率为89.90%。PCI术后患者重返工作准备度中处于前意向阶段者42例、意向阶段者60例、行动准备-自我评估阶段者36例和行动准备-行为阶段者40例。患者的疾病进展恐惧可直接影响其重返工作准备度;心理一致感、疾病接受度在疾病进展恐惧与重返工作准备度间的链式中介效应显著,总中介效应值为-0.072,占总效应的41.38%。结论PCI术后患者重返工作准备度仍需提高,心理一致感与疾病接受度在患者疾病进展恐惧与重返工作准备度间发挥链式中介作用。医护人员应根据患者具体情况制定个性化的护理策略,改善患者心理状态,提高其重返工作准备度。Objective To explore the impact of the fear of disease progression on the return-to-work readiness of patients after percutaneous coronary intervention(PCI),and the chain mediating effect of psychological consistency and disease acceptance between the two factors.Methods A convenience sampling method was used to select 198 PCI patients at the Affiliated Hospital of Jining Medical University from February 2023 to May 2024.The General Information Survey,Return-To-Work Readiness Scale,Fear of Progression Questionnaire-Short Form,Acceptance Illness Scale,and Sense of Coherence-13 were used to investigate the patients.Results A total of 198 questionnaires were distributed,with 178 valid questionnaires returned,yielding an effective response rate of 89.90%.Among the patients'return-to-work readiness,42 patients were in the pre-intention stage,60 patients in the intention stage,36 patients in the action preparation-self-assessment stage,and 40 patients in the action preparation-behavior stage.The fear of disease progression significantly influenced the patients'return-to-work readiness.Psychological consistency and disease acceptance played significant chain mediation roles between the fear of disease progression and return-to-work readiness,with a total mediation effect value of-0.072,accounting for 41.38%of the total effect.Conclusions Return-to-work readiness in PCI patients needs improvement.Psychological consistency and disease acceptance play a chain mediation role between the fear of disease progression and return-to-work readiness.Healthcare providers should develop personalized care strategies based on patients'specific conditions,improve their psychological state,and enhance their readiness to return to work.

关 键 词：经皮冠状动脉介入治疗 心理一致感 疾病接受度 疾病进展恐惧 重返工作准备度 链式中介 

分 类 号：R473.5[医药卫生—护理学]