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经皮冠状动脉介入治疗后冠心病患者的家庭关怀与主观幸福感:应对策略的中介作用

Family care and subjective well-being of coronary heart disease patients after percutaneous coronary intervention: Mediating effects of coping strategies.

作者信息

Liang Li-Xia, Liu Yu, Shi Ya-Jie, Jiang Tong-Tong, Zhang Hong-Ru, Liu Bing-Han, Xu Peng-Zhu, Shi Tie-Ying

机构信息

Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China.

Nursing Department, Chiba University, Chiba, Japan.

出版信息

Int J Nurs Sci. 2021 Sep 18;9(1):79-85. doi: 10.1016/j.ijnss.2021.09.006. eCollection 2022 Jan.

Abstract

OBJECTIVES

To analyze the correlations between family care, coping strategies and the subject well-being (SWB) of patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI).

METHODS

From November 2019 to October 2020, 264 CHD patients who had undergone PCI were enrolled in this questionnaire survey. The research tools applied included General Information Questionnaire, the Adaptation, Partnership, Growth, Affection and Resolve, Medical Coping Modes Questionnaire, and the General Well-being Schedule. SPSS 24.0 and Amos 23.0 software packages were used for statistical analysis.

RESULTS

The mean scores for family care, confrontation, avoidance, acceptance-resignation and SWB, were 7.59 ± 2.24, 20.03 ± 3.78, 16.49 ± 2.70, 10.42 ± 2.01, and 73.31 ± 11.63, respectively. Subgroup analysis showed that the path coefficient between family care and subjective well-being was higher in males than females. Family care was directly related to coping strategies. The coping strategies were directly related to SWB, while family care showed an indirect association with SWB via coping strategies.

CONCLUSIONS

Family care can improve CHD patients' SWB post-PCI, and coping strategies are important for the link between family care and SWB. Also, men received more family care than women. Based on a patient's characteristics, healthcare providers can promote patients' positive coping strategies, increase their perceived family care, and improve the patient's SWB.

摘要

目的

分析经皮冠状动脉介入治疗(PCI)后冠心病(CHD)患者的家庭关怀、应对策略与主观幸福感(SWB)之间的相关性。

方法

2019年11月至2020年10月,264例接受PCI治疗的冠心病患者纳入本问卷调查。应用的研究工具包括一般信息问卷、适应、伙伴关系、成长、情感与决心问卷、医学应对方式问卷和总体幸福感量表。采用SPSS 24.0和Amos 23.0软件包进行统计分析。

结果

家庭关怀、面对、回避、接受-放弃和主观幸福感的平均得分分别为7.59±2.24、20.03±3.78、16.49±2.70、10.42±2.01和73.31±11.63。亚组分析显示,男性家庭关怀与主观幸福感之间的路径系数高于女性。家庭关怀与应对策略直接相关。应对策略与主观幸福感直接相关,而家庭关怀通过应对策略与主观幸福感呈间接关联。

结论

家庭关怀可改善PCI术后冠心病患者的主观幸福感,应对策略在家庭关怀与主观幸福感之间的联系中起重要作用。此外,男性比女性获得更多的家庭关怀。基于患者的特征,医疗服务提供者可以促进患者积极的应对策略,增加他们感受到的家庭关怀,并提高患者的主观幸福感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43ad/8766782/47c54c427203/gr1.jpg

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