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| 自尊和心理控制源在老年慢性心力衰竭患者治疗期望和自我感受负担间的中介效应研究 |
| The mediating effect of self-esteem and psychological control sources on burden of treatment expectation and self-perception in elderly patients with chronic heart failure |
| 投稿时间：2020-07-15 |
| DOI：10.3969/j.issn.1000-0399.2021.03.023 |
| 中文关键词: 慢性心力衰竭 老年患者 治疗期望 自我感受负担 自尊和心理控制源 |
| 英文关键词: Chronic heart failure Elderly patients Treatment expectations Self-perceived burden Self-esteem and psychological control sources |
| 基金项目:合肥市第六周期医学重点学科项目（项目编号：合卫科教〔2019〕160号） |
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| 中文摘要: |
| 目的 探讨自尊和心理控制源在老年慢性心力衰竭患者治疗期望和自我感受负担间是否存在中介效应。方法 选取2019年6月至2020年5月就诊于合肥市第一人民医院的140例老年慢性心力衰竭患者作为研究对象。应用Herth期望量表（HHI）、自我感受负担量表（SPBS）、自尊量表（SES）和多维度健康心理控制源量表（MHLC）进行调查。采用Spearman和多元回归方法分析自尊和心理控制源在老年慢性心力衰竭患者治疗期望和自我感受负担间的中介效应。结果 不同人口统计学特征间患者HHI和SPBS评分差异有统计学意义（P<0.05）。根据Spearman相关性分析结果，140例老年慢性心力衰竭患者HHI得分与SES得分、MHLC得分均呈正相关（r=0.479、0.578， P均<0.05），SPBS评分与SES得分、MHLC得分均呈负相关（r=-0.462、-0.714，P均<0.05）；自尊和心理控制源在治疗期望和自我感受负担之间起中介效应，中介效应为（0.620×-0.114）/-1.016＝6.95%和（-0.114×1.215）/-1.016＝13.63%。自尊和心理控制源可以通过影响治疗期望来作用于自我感受负担。结论 在进行老年慢性心力衰竭患者疾病管理时，不仅需要关注患者自尊水平，还应该促进积极心理控制源应对策略，提高治疗期望水平，从而减轻患者的自我感受负担。 |
| 英文摘要: |
| Objective To investigate the mediating effect of self-esteem and psychological control on the treatment expectation and self-perception burden in elderly patients with chronic heart failure. Methods A total of 140 elderly patients with chronic heart failure who received treatment at Hefei First People’s Hospital from June 2019 to May 2020 were selected as the subjects. The Herth horizon scale (HHI), the self-perceived burden scale (SPBS), the self-esteem scale (SES) and the multi-dimensional health mental control source scale (MHLC) were used to study. Spearman and multiple regression analysis were used to analyze the mediating effect of self-esteem and psychological control sources between treatment expectation and self-perception burden in elderly patients with chronic heart failure. Results There were statistical differences in treatment HHI and SPBS scores among different demographic characteristics (P<0.05). Based on Spearman correlation analysis, the HHI scores of 140 elderly patients with chronic heart failure were positively correlated with SES scores and MHLC scores (r=0.479, 0.578, P<0.05). SPBS score was negatively correlated with SES score, MHLC score (r=-0.462, -0.714, P<0.05). The sources of self-esteem and psychological control played a mediating role between treatment expectations and the burden of self-perception; the mediating effects were (0.620×-0.114)/-1.016=6.95% and (-0.114×1.215)/-1.016=13.63. Sources of self-esteem and psychological control could act on self-perception burden by influencing treatment expectations. Conclusions In the management of elderly patients with chronic heart failure, we should not only pay attention to the level of self-esteem, but also promote the coping strategy of positive psychological control source and improve the level of treatment expectation to reduce the self-perceived burden. |
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