积极心理资本对慢性阻塞性肺疾病患者肺康复后促进健康生活方式的影响的路径分析：一项观察性研究。
Path analysis of the effect of positive psychological capital on health-promoting lifestyle in patients with COPD after pulmonary rehabilitation: An observational study.
机构信息
Department of Respiratory Critical Medicine, The Jiangyin Clinical College of Xuzhou Medical University, Jiangyin, China.
Department of Nursing, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
出版信息
Medicine (Baltimore). 2024 Aug 16;103(33):e39204. doi: 10.1097/MD.0000000000039204.
To investigate the effect of positive psychological capital on the health-promoting lifestyle of patients with chronic obstructive pulmonary disease (COPD) and the intermediary effects of life satisfaction and learned helplessness. A total of 482 patients who completed the pulmonary rehabilitation course at the Nantong Sixth People's Hospital of Jiangsu Province were surveyed using a self-designed questionnaire battery, encompassing the positive psychological capital, health-promoting lifestyle, life satisfaction, and learned helplessness scales. A total of 469 of the 482 questionnaires distributed were effectively returned, leading to an effective response rate of 97.3%. The mean scores on the positive psychological capital, life satisfaction, learned helplessness, and health-promoting lifestyle scales were 105.56 ± 10.44, 19.89 ± 6.33, 50.14 ± 5.47, and 104.22 ± 10.44, respectively. The structural equation model demonstrated good fit indexes. The path analysis revealed that positive psychological capital had a direct effect of 0.431 on health-promoting lifestyle, while life satisfaction and learned helplessness had a mediating effect on this relationship (both P < .05). Patients with COPD have low levels of positive psychological capital and health-promoting lifestyle. Thus, addressing psychological problems and providing continuous rehabilitation nursing to strengthen the psychological construct are essential in this patient group. Moreover, the positive psychological capital of patients with COPD can directly predict their health-promoting lifestyle and exert an influence via the chain mediating effect of life satisfaction and learned helplessness. Therefore, clinical medical staff should assess the positive psychological capital of patients with COPD and adjust the daily rehabilitation activities according to the patients' mental state. Furthermore, enhancing the patients' life satisfaction by employing diverse strategies to reduce learned helplessness can notably improve the health-promoting lifestyle of those with COPD.
目的
探讨积极心理资本对慢性阻塞性肺疾病（COPD）患者健康促进生活方式的影响，以及生活满意度和习得性无助感的中介作用。
方法
采用自制问卷对江苏省南通市第六人民医院完成肺康复课程的 482 例 COPD 患者进行调查，问卷包括积极心理资本、健康促进生活方式、生活满意度和习得性无助感量表。共发放 482 份问卷，有效回收 469 份，有效回收率为 97.3%。积极心理资本、生活满意度、习得性无助感和健康促进生活方式量表的平均得分分别为 105.56±10.44、19.89±6.33、50.14±5.47和 104.22±10.44。结构方程模型拟合良好。路径分析显示，积极心理资本对健康促进生活方式有直接影响，为 0.431，生活满意度和习得性无助感对两者的关系有中介作用（均 P<0.05）。
结论
COPD 患者积极心理资本和健康促进生活方式水平较低。因此，解决心理问题，提供持续的康复护理以加强心理建设，对该患者群体至关重要。此外，COPD 患者的积极心理资本可以直接预测其健康促进生活方式，并通过生活满意度和习得性无助感的连锁中介作用产生影响。因此，临床医护人员应评估 COPD 患者的积极心理资本，并根据患者的精神状态调整日常康复活动。此外，通过采用多种策略增强患者的生活满意度，减少习得性无助感，可显著改善 COPD 患者的健康促进生活方式。
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