抑郁、焦虑和韧性：心力衰竭患者情绪与自我护理的关系。
Depression, Anxiety, and Resilience: The Association of Emotions With Self-care in Patients With Heart Failure.
出版信息
J Cardiovasc Nurs. 2024;39(3):E72-E79. doi: 10.1097/JCN.0000000000001049.
BACKGROUND
Engaging in self-care behaviors improves outcomes in patients with heart failure. Identifying psychological factors that affect self-care behaviors and the role of resilience may inform interventions that improve outcomes.
OBJECTIVES
The study objective was to determine the relationships among depression, anxiety, resilience, and self-care, including whether resilience mediates or moderates the effects of depression and anxiety on self-care.
METHODS
Pearson correlation coefficients were computed to estimate the relationships of depression, anxiety, and resilience with self-care behaviors. Mediating and moderating effects of resilience on the relationships of depression and anxiety with self-care were evaluated using multiple linear regression.
RESULTS
Depression and anxiety were associated with lower self-care. Higher resilience was associated with lower depression and anxiety, but resilience did not mediate or moderate the relationship of depression and anxiety with self-care.
CONCLUSIONS
Interventions that foster resilience may improve outcomes by reducing anxiety and depression in patients with heart failure.
背景
参与自我保健行为可改善心力衰竭患者的预后。确定影响自我保健行为的心理因素和韧性的作用，可以为改善预后的干预措施提供信息。
目的
本研究旨在确定抑郁、焦虑、韧性与自我保健之间的关系，包括韧性是否调节或中介抑郁和焦虑对自我保健的影响。
方法
采用 Pearson 相关系数来评估抑郁、焦虑和韧性与自我保健行为之间的关系。采用多元线性回归评估韧性对抑郁和焦虑与自我保健关系的调节和中介作用。
结果
抑郁和焦虑与自我保健水平较低相关。较高的韧性与较低的抑郁和焦虑相关，但韧性既不能调节也不能中介抑郁和焦虑与自我保健之间的关系。
结论
通过减轻心力衰竭患者的焦虑和抑郁，培养韧性的干预措施可能会改善预后。
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