军事护理2024,Vol.41Issue(12) :52-56.DOI:10.3969/j.issn.2097-1826.2024.12.013

慢性心力衰竭患者的社会支持对治疗负担的影响:屈服应对的中介作用

Impact of Social Support on Treatment Burden in Patients with Chronic Heart Failure:Mediating Effect of Acceptance-resignation

陈俊杰 余敏睿 唐朝桢 刘文慧 阮亮 冯晓瑜 张国龙 马春花
军事护理2024,Vol.41Issue(12) :52-56.DOI:10.3969/j.issn.2097-1826.2024.12.013

慢性心力衰竭患者的社会支持对治疗负担的影响:屈服应对的中介作用

Impact of Social Support on Treatment Burden in Patients with Chronic Heart Failure:Mediating Effect of Acceptance-resignation

陈俊杰 1余敏睿 1唐朝桢 1刘文慧 2阮亮 3冯晓瑜 4张国龙 3马春花1
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作者信息

  • 1. 广州医科大学护理学院,广东 广州 510180
  • 2. 嘉应学院医学院,广东梅州 514031
  • 3. 广州医科大学附属第一医院护理部,广东 广州 510000
  • 4. 广州医科大学附属第一医院心血管内科
  • 折叠

摘要

目的 了解慢性心力衰竭(chronic heart failure,CHF)患者的治疗负担现状,并探讨应对方式在社会支持和治疗负担之间的中介作用.方法 便利抽样法选取广州市某三级甲等医院221名CHF患者为研究对象,采用慢性病共病患者治疗负担问卷、社会支持评定量表、医学应对方式问卷对其进行调查.结果 CHF患者治疗负担总分为14.6(8.3,20.8)分、社会支持总分为(33.57±6.06)分.在应对方式中,面对14.0(11.0,16.0)分,回避16.0(15.0,16.0)分,屈服9.0(6.0,11.0)分.社会支持与治疗负担、屈服应对呈负相关(P<0.05);屈服应对与治疗负担呈正相关(P<0.05).屈服应对是社会支持和治疗负担之间的中介变量(效应值:-0.154),中介效应占34.07%.结论 CHF患者的社会支持可以通过屈服应对影响治疗负担.医务工作者在日常工作中要更加关注低社会支持的CHF患者,同时要引导患者采取积极的应对方式以减轻其治疗负担.

Abstract

Objective To investigate the status quo of treatment burden in patients with CHF and to explore the mediating effect of coping style between social support and treatment burden.Methods A total of 221 patients with CHF from a tertiary A hospital in Guangzhou was selected by convenience sampling and surveyed with multimor-bidity treatment burden questionnaire,social support revalued scale,and medical coping modes questionnaire.Results The total scores of treatment burden and social support in patients with CHF were 14.6(8.3,20.8)and(33.57±6.06),respectively.The sores of confrontation,avoidance and acceptance-resignation were 14.0(11.0,16.0),16.0(15.0,16.0)and 9.0(6.0,11.0).Social support was negatively associated with treatment burden and acceptance-res-ignation,while acceptance-resignation was positively related to treatment burden(P<0.05).Acceptance-resignation played a partial mediating role between social support and treatment burden(effect size:-0.154),with a mediating effect accounting for 34.07%.Conclusions Social support can influence treatment burden by acceptance-resignation.In order to lessen the treatment burden,medical professionals should pay special attention to patients without ade-quate social support,as well as guide them to adopt positive coping style.

关键词

慢性心力衰竭/社会支持/应对方式/屈服/治疗负担/中介作用

Key words

chronic heart failure/social support/coping style/acceptance-resignation/treatment burden/mediating effect

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出版年

2024
军事护理
第二军医大学

军事护理

CSTPCDCSCD北大核心
影响因子:1.628
ISSN:2097-1826
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