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心力衰竭患者的自我护理:使用条件过程分析考察正念和冲动性的影响。

Self-care among persons with heart failure: Examining the impact of mindfulness and impulsivity using conditional process analysis.

机构信息

Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.

Princess Salma Faculty of Nursing, Al Al-Bayt University, Al-Mafraq, Jordan.

出版信息

Nurs Forum. 2022 Jul;57(4):558-567. doi: 10.1111/nuf.12719. Epub 2022 Mar 15.

DOI:10.1111/nuf.12719
PMID:35289949
Abstract

BACKGROUND

According to the literature, self-care in persons with heart failure is inadequate. Such inadequate levels of self-care necessitate a thorough investigation of the potential predictors.

PURPOSE

To: (a) determine the level of self-care among persons with heart failure in Jordan; (b) determine the relationship between mindfulness, impulsivity, and self-care among persons with heart failure; (c) investigate the potential moderation effect of impulsivity on the relationship between mindfulness and self-care.

METHODS

A cross-sectional study was conducted. A convenience sample of 100 persons with heart failure in an outpatient clinic at King Abdullah University Hospital was recruited. The following tools were used to collect the data via phone survey: Self-Care of Heart Failure Index, Barratt Impulsiveness Scale, and the Mindful Attention Awareness Scale.

RESULTS

The sample consisted of 78 male and 22 female persons with heart failure. The effect of mindfulness was statistically significant only on self-care symptom perception, and not significant on other aspects of self-care. Impulsivity moderated only the effect of mindfulness on self-care symptom perception. Correlation analysis showed a significant relationship between mindfulness and impulsivity (r = -.532, p < .01).

CONCLUSION

Mindfulness is likely to improve at least one aspect of self-care (self-care symptom perception) and reduce impulsivity among heart failure persons.

摘要

背景

根据文献,心力衰竭患者的自我护理不足。这种自我护理不足的水平需要对潜在的预测因素进行彻底调查。

目的

(a)确定约旦心力衰竭患者的自我护理水平;(b)确定正念、冲动与心力衰竭患者自我护理之间的关系;(c)调查冲动对正念与自我护理之间关系的潜在调节作用。

方法

进行了一项横断面研究。在阿卜杜拉国王大学医院的门诊诊所招募了 100 名心力衰竭患者的便利样本。通过电话调查使用以下工具收集数据:心力衰竭自我护理量表、巴雷特冲动量表和正念注意意识量表。

结果

样本由 78 名男性和 22 名女性心力衰竭患者组成。正念的影响仅在自我护理症状感知方面具有统计学意义,而在其他自我护理方面则不显著。冲动仅调节了正念对自我护理症状感知的影响。相关分析显示正念和冲动之间存在显著关系(r=-0.532,p<0.01)。

结论

正念可能会改善心力衰竭患者至少一个自我护理方面(自我护理症状感知)并降低冲动。

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