首页|慢性病资源利用在冠心病PCI术后患者自我超越与自我管理行为间的中介效应

慢性病资源利用在冠心病PCI术后患者自我超越与自我管理行为间的中介效应

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目的 分析慢性病资源利用在冠心病PCI术后患者自我超越与自我管理行为间的中介作用.方法 采用一般资料调查表、自我超越量表、慢性病资源调查问卷、冠心病自我管理行为量表对 720例冠心病PCI术后患者进行问卷调查.结果 冠心病PCI术后患者自我超越、慢性病资源利用、自我管理行为总分分别为(43.70±5.91)分、(55.12±8.37)分和(72.57±8.17)分;自我超越与慢性病资源利用呈正相关(r=0.562,P＜0.01),两者与自我管理行为均呈正相关(r分别为 0.516、0.717,P均＜0.01);慢性病资源利用在自我超越与自我管理行为间起部分中介作用,中介效应占总效应的 68.02%.结论 冠心病PCI术后患者自我超越可以直接影响自我管理行为,也可以通过慢性病资源利用发挥作用.
Mediating effects of chronic disease resource utilization between self-transcendence and self-management behaviors in coronary artery disease patients after PCI
Objective To analyze the mediating role of chronic disease resource utilization between self-transcendence and self-management behaviors in postoperative coronary artery disease(CAD)patients after PCI.Methods A General Information Questionnaire,the Self-Transcendence Scale,the Chronic Disease Resource Questionnaire,and the Coronary Heart Disease Self-Management Behaviors Scale were used to survey 720 postoperative CAD patients after PCI.Results The total score of self-transcendence,chronic disease resource utilization,and self-management behaviors of patients after PCI was 43.70±5.91,55.12±8.37,and 72.57±8.17,respectively.Self-transcendence was positively correlated with chronic disease resource utilization(r=0.562,P＜0.01),and both were positively correlated with self-management behaviors(r=0.516,r=0.717,both P＜0.01).Chronic disease resource utilization played a partial mediating role between self-transcendence and self-management behaviors,accounting for 68.02%of the total effect.Conclusion Self-transcendence in CAD patients after PCI can directly influence self-management behaviors and can also play a role through chronic disease resource utilization.

coronary artery disease patientpercutaneous coronary interventionself-transcendencechronic disease resource utilizationself-management behaviorsmediating effect

李爱群、李利花、王芳、蒋源元、蔡益民

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湖南师范大学医学院 护理系,湖南 长沙 410013

湖南省人民医院(湖南师范大学附属第一医院) 心血管内科二病区,湖南 长沙 410005

湖南省人民医院(湖南师范大学附属第一医院) 护理部,湖南 长沙 410005

冠心病患者 冠状动脉介入治疗 自我超越 慢性病资源利用 自我管理行为 中介效应

湖南师范大学医学院开放基金湖南省科技厅重点领域研发计划

KF20220392020SK3041

2024

10.16460/j.issn1008-9969.2024.06.013

护理学报
南方医科大学

护理学报

CSTPCD
影响因子：1.705
ISSN：1008-9969
年,卷(期)：2024.31(6)
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