首页|自我感受负担在PCI术后患者生活质量与健康信念间的中介效应

自我感受负担在PCI术后患者生活质量与健康信念间的中介效应

The Mediating Effect of Self-perceived Burden on Quality of Life and Health Belief in Patients After PCI

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目的 探讨自我感受负担在经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者生活质量与健康信念间的中介效应,为提高PCI术后患者健康信念水平提供理论依据.方法 采用便利抽样法,选取2021年10月至2022年10月锦州市某三级甲等医院门诊复诊的330例PCI术后患者为研究对象.使用冠心病健康信念问卷、自我感受负担量表和SF-36健康调查量表对患者进行调查.结果 PCI术后患者健康信念得分为(103.33±17.38)分,自我感受负担总分为(28.32±9.41)分,生活质量得分为(67.07±10.10)分;健康信念与自我感受负担呈负相关(r=-0.300,P<0.01),健康信念与生活质量呈正相关(r=0.388,P<0.01),自我感受负担与生活质量呈负相关(r=-0.435,P<0.01);自我感受负担在生活质量与健康信念之间起部分中介作用,中介效应占总效应的18.20%.结论 自我感受负担在PCI术后患者生活质量与健康信念之间起部分中介作用.临床工作者应鼓励患者减轻其自我感受负担与心理压力,提高生活质量,从而提高健康信念水平.
Objective To explore the mediating effect of self-perceived burden on the quality of life and health beliefs of patients after percutaneous coronary intervention,providing a theoretical basis for improving the health beliefs of patients after PCI.Methods Using convenience sampling method,330 postoperative PCI patients who underwent outpatient follow-up visits from a tertiary Grade A hospital in Jinzhou City,Liaoning Province from October 2021 to October 2022 were selected as the study subjects.The patients were investigated using the Coronary Heart Disease Health Belief Questionnaire,Self-perceived Burden Scale,and SF-36 Health Survey Scale.Results The health belief score of patients after PCI was(103.33±17.38)points;the total score of self-perceived burden is(28.32±9.41)points;the quality of life score is(67.07±10.10)points;health beliefs are negatively correlated with self-per-ceived burden(r=-0.300,P<0.01),positively correlated with quality of life(r=0.388,P<0.01),and negatively correlated with self-perceived burden(r=-0.435,P<0.01);self-perceived burden partially mediates the relationship between quality of life and health beliefs,with a mediating effect accounting for 18.2%of the total effect.Conclusion Self-perceived burden plays a par-tial mediating role between the quality of life and health beliefs of patients after PCI.Clinical workers should encourage patients to re-duce their self-perceived burden and psychological pressure,improve the quality of life,and improve the level of health belief.

PCIhealth beliefsself-perceived burdenquality of lifemediating effect

陈希、邸兴伟

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锦州医科大学附属第一医院,辽宁锦州 121000

PCI 健康信念 自我感受负担 生活质量 中介效应

辽宁省科学技术基金项目

2020JH2/10100017

2024

锦州医科大学学报
辽宁医学院

锦州医科大学学报

影响因子:0.802
ISSN:1674-0424
年,卷(期):2024.45(3)