Yan Jing, Zhou Long, Song Guangyu, Yuan Yangyang
Department of Cardiology, The First People's Hospital of Lianyungang, Lianyungang, China.
Department of Psychiatry, The Fourth People's Hospital of Lianyungang, Lianyungang, China.
Front Cardiovasc Med. 2025 Mar 4;12:1518175. doi: 10.3389/fcvm.2025.1518175. eCollection 2025.
To explore the mediating effects of social support and coping style on health literacy and symptom burden in patients with chronic heart failure.
A total of 200 patients with chronic heart failure in Grade 3A Hospitals in Jiangsu province of China were investigated by using General Data Questionnaire, Memorial Symptom Assessment Scale for Heart Failure, Chinese Version of Heart Failure Specific Health Literacy Scale, Perceived Social Support Scale, and Medical Coping Modes Questionnaire.
Symptom burden score of patients with chronic heart failure was (0.73 ± 0.45), health literacy score was (29.38 ± 9.76), social support score was (59.15 ± 10.58), and yielding coping style score was (9.18 ± 4.13). There were significant correlations among health literacy, social support, coping style and symptom burden in patients with chronic heart failure. The results of mediating effect analysis showed that health literacy of patients with chronic heart failure could influence symptom burden through the chain mediating effect of social support-yielding coping style. The effect size was -0.008, and the 95% confidence interval did not include 0 (-0.011, -0.006).
The health literacy of patients with chronic heart failure has an indirect impact on the burden of symptoms through social support and yielding coping style, suggesting that medical staff should take social support and coping style as a breakthrough from the perspective of health literacy of patients with chronic heart failure, so as to achieve the purpose of improving the health literacy of patients with chronic heart failure and reducing the burden of symptoms.
探讨社会支持和应对方式对慢性心力衰竭患者健康素养及症状负担的中介作用。
采用一般资料问卷、心力衰竭症状评估量表、中文版心力衰竭特异性健康素养量表、领悟社会支持量表及医学应对方式问卷，对江苏省三级甲等医院的200例慢性心力衰竭患者进行调查。
慢性心力衰竭患者症状负担得分为（0.73±0.45），健康素养得分为（29.38±9.76），社会支持得分为（59.15±10.58），屈服应对方式得分为（9.18±4.13）。慢性心力衰竭患者的健康素养、社会支持、应对方式与症状负担之间存在显著相关性。中介效应分析结果显示，慢性心力衰竭患者的健康素养可通过社会支持-屈服应对方式的链式中介效应影响症状负担。效应量为-0.008，95%置信区间不包括0（-0.011，-0.006）。
慢性心力衰竭患者的健康素养通过社会支持和屈服应对方式对症状负担产生间接影响，提示医务人员应从慢性心力衰竭患者健康素养的角度，以社会支持和应对方式为突破口，以达到提高慢性心力衰竭患者健康素养、减轻症状负担的目的。
