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住院老年人的医学应对方式与正念水平的相关性:对增强心理健康的启示。

Correlation between medical coping style and mindfulness level of hospitalized elderly: implications for enhancing psychological well-being.

机构信息

School of Nursing, Philippine Women's University, Malate, Manila, Philippines.

Jingzhou Institute of Technology, Jingzhou, China.

出版信息

BMC Geriatr. 2024 Oct 12;24(1):823. doi: 10.1186/s12877-024-05437-9.

Abstract

BACKGROUND

The mindfulness level of hospitalized elderly is influenced by factors such as physical health, emotional resilience, and social support. However, little is known regarding the relationship between medical coping styles and mindfulness levels of hospitalized elderly. The aims of this study were to explore the association between medical coping styles and mindfulness levels in hospitalized elderly patients, with a focus on identifying actionable strategies to enhance patient well-being.

METHODS

A survey of 253 elderly patients was conducted in the Department of Geriatrics of a 3 A hospital in Tangshan from September to November 2022 using the General Questionnaire, Medical Coping Style Scale (MCMQ), and Mindfulness-Attention Awareness Scale (MAAS).

RESULTS

The average mindfulness level score of the hospitalized elderly was (59.71 ± 13.90), with a scoring rate of 66.34%, at a moderate mindfulness level. This study revealed a strong positive correlation (r = 0.725, P < 0.05) between confrontation coping and mindfulness, highlighting the importance of promoting active coping strategies to improve mindfulness levels in elderly patients.

CONCLUSION

The mindfulness level of the hospitalized elderly shows potential for improvement, their coping styles are closely related to their mindfulness level, and positive coping styles can help improve the mindfulness level of the hospitalized elderly. This study suggested that medical staff can consider formulating targeted interventions, contingent upon available resources and training, guide patients to establish positive coping styles, and improve the mindfulness level of hospitalized elderly people.

摘要

背景

住院老年人的正念水平受身体健康、情绪弹性和社会支持等因素的影响。然而,对于医疗应对方式与住院老年人正念水平之间的关系知之甚少。本研究旨在探讨住院老年患者医疗应对方式与正念水平之间的关联,重点是确定增强患者幸福感的可行策略。

方法

2022 年 9 月至 11 月,采用一般问卷、医学应对方式量表(MCMQ)和正念注意意识量表(MAAS)对唐山市一家 3A 医院老年科的 253 名老年患者进行了调查。

结果

住院老年人的平均正念水平评分为(59.71±13.90),得分率为 66.34%,处于中等正念水平。本研究发现,面对应对与正念之间存在强烈的正相关(r=0.725,P<0.05),这突出了促进积极应对策略以提高老年患者正念水平的重要性。

结论

住院老年人的正念水平具有改善的潜力,他们的应对方式与正念水平密切相关,积极的应对方式有助于提高住院老年人的正念水平。本研究表明,医务人员可以考虑制定有针对性的干预措施,根据可用资源和培训情况,指导患者建立积极的应对方式,提高住院老年人的正念水平。

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