冠心病患者自我感受负担中介效应分析

Journal: Modern Education Forum DOI: 10.32629/mef.v3i3.760

许阳

江苏护理职业学院护理与助产学院

Abstract

目的:分析冠心病患者自我感受负担现状,探讨冠心病患者自我感受负担对疾病感知和生存质量的中介效应,为改善冠心病患者生存质量提供参照。方法:采用自我感受负担量表、疾病感知问卷和SF-36生存质量简表对2016年12月至2017年12月在徐州医科大学附属医院心内科住院的204名冠心病患者进行调查。结果:Pearson相关分析显示患者自我感受负担与生存质量呈显著负相关r= -0.672,p<0.05,与疾病感知呈显著正相关r=0.652,p<0.05。冠心病患者自我感受负担在疾病感知和生存质量中起不完全中介效应,且中介效应占总效应的62%。结论:冠心病患者自我感受负担作为部分中介变量,间接影响疾病感知和生存质量的关系。增加对患者的健康教育,缓解患者的自我感受负担对提高生存质量有重要意义。

Keywords

疾病感知;自我感受负担;生存质量;中介效应

References

[1] Zhou M, Wang H, Zhu J, et al. Cause-specific mortality for 240 causes in China during 1990-2013: a systematic subnational analysis for the Global Burden of Disease Study 2013[J].Lancet,2016,387(10015):251-272.
[2] 李金根,徐浩,史大卓.冠心病中西医结合随机对照临床研究:进展与展望[J].中国中西医结合杂志,2017,37(5):517-521.
[3] Leventhal H, Leventhal E, Cameron L .Representations,
[4] Mcpherson C J, Wilson K G, Murray M A. Feeling like a burden: exploring the perspectives of patients at the end of life[J]. Soc Sci Med,2007,64(2):417-427.
[5] Fishbain D A, Danielbruns, Alexanderbruns, et al. The Perception of Being a Burden in Acute and Chronic Pain Patients Is Associated with Affirmation of Different Types of Suicidality[J]. Pain Medicine, 2015(3):530–538.
[6] Geng D, Ou R W, Miao X H, et al. Patients’ self‐perceived burden, caregivers’ burden, and quality of life for ALS patients: a cross‐sectional study[J]. Journal of Clinical Nursing,2016,26(19-20):3188‐3199.
[7] Cousineau N, McDowell I, Hotz S, et al. Measuring chronic patients' feelings of being a burden to their caregivers: development and preliminary validation of a scale[J]. Med Care, 2003,41(1):110-118.
[8] 许少英,刘婧,冼志莲.老年慢性阻塞性肺疾病患者自我感受负担的调查分析[J]. 中华护理杂志,2011,46(9):914-916.
[9] Mcdowell I. Measuring health : a guide to rating scales and questionnaires[M]. Oxford University Press,2006.

Copyright © 2020 许阳

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License