老年冠心病PCI术后患者目标承诺、应对方式在家庭功能与感知控制间的中介作用

王祚传; 李中清; 宋江艳; 陈秀云; 秦宇; 杨洁; 陈乐; 毕清泉

doi:10.16462/j.cnki.zhjbkz.2021.12.021

老年冠心病PCI术后患者目标承诺、应对方式在家庭功能与感知控制间的中介作用

doi: 10.16462/j.cnki.zhjbkz.2021.12.021

王祚传¹,
李中清³,
宋江艳²,
陈秀云⁴,
秦宇⁵,
杨洁¹,
陈乐¹,
毕清泉^{1, 2, ,}

1.
230032 合肥，安徽医科大学护理学院
2.
230601 合肥，安徽医科大学临床医学院
3.
230088 合肥，安徽医科大学第一附属医院高新院区心内科
4.
225001 扬州，苏北人民医院心内科
5.
230031 合肥，安徽省肿瘤医院肿瘤内科

基金项目:

安徽省中央引导地方科技发展专项项目 S2019b11030024

详细信息

通讯作者:
毕清泉，E-mail：bqingquan2007@163.com

中图分类号: R473.5
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- 文章访问数: 561
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- 被引次数: 0
出版历程
- 收稿日期: 2021-03-29
- 修回日期: 2021-08-30
- 网络出版日期: 2021-12-27
- 刊出日期: 2021-12-10

Analysis of the mediating effect of goal commitment and coping style between family function and perceived control in elderly patients with coronary heart disease after PCI

1.
School of Nursing, Anhui Medical University, Hefei 230032, China
2.
School of Clinical Medicine, Anhui Medical University, Hefei 230601, China
3.
Department of Cardiology, High-tech District of the First Affiliated Hospital of Anhui Medical University, Hefei 340104, China
4.
Department of Cardiology, Subei People's Hospital, Yangzhou 225001, China
5.
Department of Oncology, Anhui Cancer Hospital, Hefei 230031, China

Funds:

Special Project on Local Science and Technology Development under the Central Leadership of Anhui Province S2019b11030024

More Information

Corresponding author: BI Qing-Quan, E-mail: bqingquan2007@163.com

摘要

摘要: 目的分析老年冠心病经皮冠状动脉介入治疗(percutaneous coronary intervention, PCI)术后患者目标承诺、应对方式在家庭功能与感知控制之间的中介作用。方法采用一般资料调查表、修订版控制态度量表(Control Attitudes Scale-Revised, CAS-R)、家庭关怀度指数问卷(Adaptation、Partnership、Growth、Affection、Resolve, APGAR)、目标承诺自我报告量表(HWK)、简易应对方式问卷(Simplified Cping Style Questinnaire, SCSQ)对308例老年冠心病PCI术后患者进行调查。结果老年冠心病PCI术后患者感知控制得分为(27.35±3.44)分，家庭功能得分为(7.83±1.48)分，目标承诺得分为(18.57±2.89)分，积极应对得分为(21.96±2.46)分。家庭功能、积极应对均能正向预测感知控制(均有P < 0.01)；目标承诺、积极应对在家庭功能与感知控制的关系中起链式中介作用(β=0.204, 95% CI: 0.127~0.269)，总中介效应占总效应的46.90%。结论家庭功能不仅直接影响其感知控制，还可以通过积极应对的中介作用，以及目标承诺和积极应对的链式中介作用间接影响其感知控制。
- 冠心病 /
- 经皮冠状动脉介入治疗 /
- 感知控制 /
- 家庭功能 /
- 目标承诺
Abstract: Objective To analyze the mediating effect of goal commitment and coping style between family function and perceived control in elderly patients with coronary heart disease after percutaneous coronary intervention (PCI). Methods A questionnaire survey was conducted among 308 elderly patients with coronary heart disease after PCI using the General Information Questionnaire, the Control Attitudes Scale-Revised (CAS-R), the Family Adaption, Partnership, Growth, Affection, Resolve Index (APGAR), the Goal Commitment Self-report Scale (HWK), and the Simplified Coping Style Questionnaire-Postive Coping (SCSQ). Results The perceived control score was (27.35±3.44) points, family function score was (7.83±1.48) points, goal commitment score was (18.57±2.89) points, and positive response score was (21.96±2.46) points, respectively. Family function, positive coping were positively predictive of perceived control (all P < 0.01); Goal commitment and positive coping had a chain mediating effect between family function and perceived control (β=0.204, 95% CI: 0.127-0.269, P < 0.01), the mediating effect accounted for 46.90% of the total effect. Conclusions The family function can directly affect patient's perceived control. Also, it indirectly affects their perceived control through the mediating effect of positive coping and the chain mediating effect of goal commitment and positive coping.
- Coronary disease /
- PCI /
- Perceived control /
- Family function /
- Goal commitment

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图 1 目标承诺和积极应对的链式中介模型

注：^a P < 0.05，^b P < 0.01。

Figure 1. Chain mediation model of goal commitment and positive coping

下载: 全尺寸图片幻灯片

表 1 老年冠心病PCI术后患者感知控制得分在一般资料上差异比较[n (%)]

Table 1. Comparison of perceived control score on demographic and clinical characteristic of elderly patients with coronary heart disease after PCI [n (%)]

项目	n(例)	x±s	t/F值	P值
性别			2.136	0.030
男	223(72.4)	28.63±3.43
女	85(27.6)	23.98±3.00
年龄(岁)			1.254	0.287
60~ < 70	209(67.9)	27.49±3.11
≥70	99(32.1)	27.04±3.21
受教育程度			3.631	0.011
小学及以下	115(37.3)	24.81±2.34
初中	84(27.3)	27.00±3.28
高中或中专	53(17.2)	29.81±1.92
大专及以上	56(18.2)	30.62±0.62
居住地			3.823	0.006
农村	134(43.5)	25.36±2.50
县城或城镇	101(32.8)	27.10±3.23
城市	73(23.7)	31.32±2.08
家庭人均月收入(元)			12.561	< 0.001
1 000~ < 3 000	105(34.1)	25.05±2.19
3 000~ < 5 000	146(47.4)	27.53±2.98
≥5 000	57(18.5)	31.16±1.24
病程(年)			3.715	0.010
< 1	53(17.2)	30.15±3.36
1~3	189(61.4)	27.56±3.34
>3	66(21.4)	24.95±4.38

下载: 导出CSV

表 2 家庭功能、目标承诺、积极应对、感知控制得分的相关性分析

Table 2. Correlation analysis of family function, goal commitment, positive coping, perceived control score

变量	(x±s)	家庭功能	目标承诺	积极应对	感知控制
家庭功能	7.83±1.48	1.000
目标承诺	18.57±2.89	0.428	1.000
积极应对	21.96±2.46	0.315	0.405	1.000
感知控制	27.35±3.44	0.293	0.324	0.398	1.000

下载: 导出CSV

表 3 中介效应检验的Bootstrap分析

Table 3. Bootstrap analysis of intermediation effect testing

效应	路径	β值	相对中介效应	95% CI值
直接效应	家庭功能→感知控制	0.231	53.10%	0.135~0.273
中介效应1	家庭功能→积极应对→感知控制	0.125	28.74%	0.054~0.219
中介效应2	家庭功能→目标承诺→积极应对→感知控制	0.079	18.16%	0.016~0.114
总中介效应		0.204	46.90%	0.127~0.269
总效应		0.435

下载: 导出CSV

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