心力衰竭患者的压力、认知评估、应对方式与无事件生存期
Stress, cognitive appraisal, coping, and event free survival in patients with heart failure.
作者信息
Alhurani Abdullah S, Dekker Rebecca, Ahmad Muayyad, Miller Jennifer, Yousef Khalil M, Abdulqader Basel, Salami Ibrahim, Lennie Terry A, Randall David C, Moser Debra K
机构信息
The University of Jordan, Amman, Jordan.
University of Kentucky, Lexington, United States.
出版信息
Heart Lung. 2018 May-Jun;47(3):205-210. doi: 10.1016/j.hrtlng.2018.03.008. Epub 2018 Apr 4.
Abstract
OBJECTIVES
To describe self-reported stress level, cognitive appraisal and coping among patients with heart failure (HF), and to examine the association of cognitive appraisal and coping strategies with event-free survival.
METHODS
This was a prospective, longitudinal, descriptive study of patients with chronic HF. Assessment of stress, cognitive appraisal, and coping was performed using Perceived Stress Scale, Cognitive Appraisal Health Scale, and Brief COPE scale, respectively. The event-free survival was defined as cardiac rehospitalization and all-cause death.
RESULTS
A total of 88 HF patients (mean age 58 ± 13 years and 53.4% male) participated. Linear and cox regression showed that harm/loss cognitive appraisal was associated with avoidant emotional coping (β = -0.28; 95% CI: -0.21 - 0.02; p = 0.02) and event free survival (HR = 0.53; 95% CI: 0.28 - 1.02; p = 0.05).
CONCLUSIONS
The cognitive appraisal of the stressors related to HF may lead to negative coping strategies that are associated with worse event-free survival.
摘要
目的
描述心力衰竭（HF）患者自我报告的压力水平、认知评估和应对方式，并研究认知评估和应对策略与无事件生存期的关联。
方法
这是一项针对慢性HF患者的前瞻性、纵向描述性研究。分别使用感知压力量表、认知评估健康量表和简易应对方式量表对压力、认知评估和应对方式进行评估。无事件生存期定义为心脏再住院和全因死亡。
结果
共有88例HF患者（平均年龄58±13岁，男性占53.4%）参与研究。线性回归和Cox回归显示，伤害/损失认知评估与回避情绪应对方式相关（β=-0.28；95%CI：-0.21至-0.02；p=0.02），且与无事件生存期相关（HR=0.53；95%CI：0.28至1.02；p=0.05）。
结论
对与HF相关应激源的认知评估可能导致消极的应对策略，这与较差的无事件生存期相关。
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