摘要
目的探讨急性心肌梗死患者的自我效能、社会支持、应对方式对心理弹性的影响,并分析其影响路径。方法采用横断面调查方法,应用心理弹性量表、一般自我效能感量表、社会支持评定量表以及医学应对问卷对2014年5月至2015年3月在哈尔滨某三级甲等医院心内科住院的296例急性心肌梗死患者进行问卷调查。结果急性心肌梗死患者的心理弹性总分为(57.79±12.39)分;急性心肌梗死患者的自我效能、主观支持、面对应对及屈服应对进入心理弹性的多元回归方程,其自我效能、主观支持对心理弹性既有直接影响也有间接影响,面对应对及屈服应对对心理弹性水平具有直接影响。结论急性心肌梗死患者的心理弹性较差,个体的自我效能、主观支持、面对应对及屈服应对是影响心理弹性的重要因素。
Objective To determine the impacts of self-efficacy,social support and coping style on resilience in acute myocardial infarction（AMI） patients and to analyze the influence path.Methods A total of 296 patients with AMI in a tertiary hospital in Harbin were recruited by cross-sectional survey method.Patients were investigated using the Connor-Davidson resilience scale,the Self-Efficacy Questionnaire,Social Support Rating Scale and Medical Coping Modes Questionnaire.SPSS 17.0 software package and AMOS 21 were used for statistical analysis.Results The resilience score for patients with AMI was 57.79±12.39;self-efficacy,subjective support,confront and resignation coping style in AMI patients entered the multiple regression equation;self-efficacy and subjective support directly and indirectly influenced resilience of AMI patients,and confront coping style and resignation coping style influenced resilience direcdy.Conclusion AMI patients have poor resilience,and patients＇ self-efficacy,subjective support,confront and resignation coping style play an important role in enhancing resilience of AMI patients.
出处
《中华护理杂志》
CSCD
北大核心
2016年第1期21-25,共5页
Chinese Journal of Nursing
关键词
心肌梗死
精神卫生
影响因素分析
Myocardial Infarction
Mental Health
Root Cause Analysis
