首页|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

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

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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.
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.

chronic heart failuresocial supportcoping styleacceptance-resignationtreatment burdenmediating effect

陈俊杰、余敏睿、唐朝桢、刘文慧、阮亮、冯晓瑜、张国龙、马春花

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广州医科大学护理学院,广东 广州 510180

嘉应学院医学院,广东梅州 514031

广州医科大学附属第一医院护理部,广东 广州 510000

广州医科大学附属第一医院心血管内科

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慢性心力衰竭 社会支持 应对方式 屈服 治疗负担 中介作用

2024

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子:1.628
ISSN:2097-1826
年,卷(期):2024.41(12)