Zhang Lin, Jiang Ming, Wang Linghua, Zheng Jiandi, Wang Weigang
Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine, Hangzhou, 310018, People's Republic of China.
Department of Statistics and Mathematics, Zhejiang Gongshang University, Hangzhou, 310018, People's Republic of China.
Patient Prefer Adherence. 2023 Mar 7;17:571-582. doi: 10.2147/PPA.S391014. eCollection 2023.
Assess the level of meaning in life of patients with COVID-19, explore the relationship among COVID-19 patients in perceived social support, medical coping modes, psychological resilience and life meaning, and clarify the mediating effect.
Through the convenience sampling method, 144 COVID-19 patients were selected in the year 2021, and surveyed by using general information questionnaire, perceived social support scale (PSSS), medical coping modes questionnaire (MCMQ), meaning in life questionnaire (MLQ) and Connor-Davidson resilience scale (CD-RISC). After the collected data were preprocessed by SPSS, the -tests, multiple comparison and Pearson coefficient were respectively used for comparative analysis, difference analysis and correlation analysis. Based on the above analysis, the structural equation model of perceived social support, medical coping modes, psychological resilience and meaning in life of COVID-19 patients was established by Amos.
COVID-19 patient's score of meaning in life, perceived social support, medical coping modes and psychological resilience are higher than the medium level. The gender and the place of treatment have significant differences in the meaning of life and perceived social support respectively. The patient's sense of life meaning it is closely and positively related to the perceived social support, medical coping modes and psychological resilience. Psychological resilience indirectly affects the sense of life meaning through medical coping modes and perceived social support.
The life meaning can be improved by strengthening the perceived social support. The high level of perceived social support was conducive to the patient to think about life from a positive perspective. Family, government, enterprise and others should give patients certain care and warmth, make them feel more support from all walks of life. In addition, the life meaning can also be enhanced through the impact of psychological resilience on medical coping modes. So, care-givers can take some proper psychological interventions to patients.
评估新型冠状病毒肺炎（COVID-19）患者的生命意义水平，探讨COVID-19患者的领悟社会支持、医学应对方式、心理弹性与生命意义之间的关系，并阐明中介效应。
采用便利抽样法，于2021年选取144例COVID-19患者，使用一般资料问卷、领悟社会支持量表（PSSS）、医学应对方式问卷（MCMQ）、生命意义问卷（MLQ）及Connor-Davidson心理弹性量表（CD-RISC）进行调查。收集的数据经SPSS预处理后，分别采用t检验、多重比较及Pearson系数进行对比分析、差异分析和相关性分析。基于上述分析，运用Amos建立COVID-19患者领悟社会支持、医学应对方式、心理弹性与生命意义的结构方程模型。
COVID-19患者的生命意义、领悟社会支持、医学应对方式及心理弹性得分均高于中等水平。性别和治疗地点分别在生命意义和领悟社会支持方面存在显著差异。患者的生命意义感与领悟社会支持、医学应对方式及心理弹性密切正相关。心理弹性通过医学应对方式和领悟社会支持间接影响生命意义感。
通过增强领悟社会支持可提高生命意义。高水平的领悟社会支持有利于患者从积极的角度思考生活。家庭、政府、企业等应给予患者一定的关怀和温暖，使其感受到来自各界更多的支持。此外，通过心理弹性对医学应对方式的影响也可增强生命意义。因此，护理人员可对患者采取一些适当的心理干预措施。
