首页|心理弹性在下肢动脉硬化闭塞症患者疾病进展恐惧与家庭功能的中介效应

心理弹性在下肢动脉硬化闭塞症患者疾病进展恐惧与家庭功能的中介效应

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目的 探讨心理弹性在下肢动脉硬化闭塞症患者家庭功能与疾病进展恐惧间的中介效应。方法 采用便利抽样法选取2023年9月-2024年3月在山东第一医科大学附属省立医院就诊的下肢动脉硬化闭塞症患者作为调查对象。采用一般资料调查表、家庭关怀度指数问卷、心理弹性量表、中文版疾病进展恐惧简化量表进行问卷调查。应用Pearson相关分析分析下肢动脉硬化闭塞症患者心理弹性、家庭功能与疾病进展恐惧的关系，通过Process进行中介效应检验。结果 本研究共发放问卷223份，有效回收214份，有效回收率为95。96%。下肢动脉硬化闭塞症患者家庭功能总分为(5。99±2。97)分、心理弹性总分为(67。44±18。67)分、疾病进展恐惧总分为(29。41±12。19)分。相关性分析结果显示，下肢动脉硬化闭塞症患者疾病进展恐惧与心理弹性呈负相关(r=-0。874，P<0。001)，与家庭功能呈负相关(r=-0。827，P<0。001)。中介效应结果显示，心理弹性在家庭功能与疾病进展恐惧之间起部分中介作用，中介效应占总效应的71。31%。结论 下肢动脉硬化闭塞症患者心理弹性在家庭功能和疾病进展恐惧间存在中介效应，家庭功能可通过心理弹性影响疾病进展恐惧。
Mediating effect of psychological resilience on fear of disease progression and family function in patients with lower extremity arteriosclerosis obliterans
Objective To explore the mediating effect of psychological resilience between family function and fear of disease progression in patients with lower extremity arteriosclerosis obliterans.Methods Convenient sampling method was used to select patients with lower extremity arteriosclerosis obliterans who visited the Shandong Provincial Hospital Af-filiated to Shandong First Medical University from September 2023 to March 2024 as the investigation object.General infor-mation questionnaire,family care index questionnaire,resilience scale and Chinese version of the simplified fear of dis-ease progress scale were used to conduct the questionnaire survey.Pearson correlation analysis was used to analyze the re-lationship between psychological resilience,family function and fear of disease progression in patients with lower extremity arteriosclerosis obliterans,and the mediating effect was tested by Process.Results In this study,223 questionnaires were distributed,and 214 questionnaires were effectively recovered,with an effective recovery rate of 95.96%.The total scores of family function,psychological resilience and fear of disease progression were 5.99±2.97,67.44±18.67 and 29.41±12.19 respectively.The results of correlation analysis showed that the fear of disease progression in patients with lower extremity arteriosclerosis obliterans was negatively correlated with psychological resilience(r=-0.874,P<0.001)and negatively correlated with family function(r=-0.827,P<0.001).The results of mediating effect showed that psycho-logical resilience played a part in mediating between family function and fear of disease progression,and the mediating ef-fect accounted for 71.31%of the total effect.Conclusion Resilience of patients with lower extremity arteriosclerosis ob-literans has a mediating effect between family function and fear of disease progression,and family function can influence fear of disease progression through psychological resilience.

lower extremity arteriosclerosis obliteranspsychological resiliencefear of disease progressionfami-ly functionmediating effect

鲍丽丽、史文、何玉祥、丁瑞欣、段新成、王文梓

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山东第一医科大学附属省立医院(山东省立医院)东院血管外一科,山东 济南 250000

山东中医药大学护理学院,山东 济南 250000

下肢动脉硬化闭塞症 心理弹性 疾病进展恐惧 家庭功能 中介效应

2024

10.3969/j.issn.2096-9058.2024.06.002

老年医学研究

老年医学研究

ISSN：
年,卷(期)：2024.5(6)