摘要
背景胃食管反流病(gastroesophageal reflux disease,GERD)是老年常见消化系统疾病之一,严重困扰患者生活质量,增加焦虑、抑郁等情绪.本研究旨在探讨老年GERD患者个体社会资本、积极心理资本、情绪表达之间的作用,为临床采取积极措施提高患者个体社会资本提供参考依据.目的探讨个体社会资本在老年GERD患者积极心理资本与适应性情绪表达的中介作用.方法采用抽样便利法,选取2018-02/2019-12在我院就诊治疗的老年GERD患者136例.采用个体社会资本测量问卷、积极心理资本量表和情绪表达量表进行调查.结果老年GERD患者个体社会资本得分19.87分±3.46分;积极心理资本得分124.36分±16.58分;抑制性情绪表达得分17.58分±3.76分,适应性情绪表达得分19.96分±3.83分,过度性情绪表达得分9.65分±2.85分.老年GERD患者个体社会资本与积极心理资本、适应性情绪表达呈正相关(r=0.269、0.245,P<0.05),积极心理资本与适应性情绪表达呈正相关(r=0.365,P<0.05).采用结构方程模型,以个体社会资本为自变量,以积极心理资本、适应性情绪表达为中介变量,探讨两种变量共同作用的结构方程,结果表明,模型各项拟合良好.采用Bootstrap法进行多重中介效应检验.结果表明,间接效应1表明积极心理资本具有中介效应,占总中介效应的82.67%;间接效应2估计效应值为0.456,表明适应性情绪表达具有中介效应,占总中介效应12.05%;间接效应3估计效应值为0.184,表明链式中介效应,占总中介效应4.68%.对不同中介效应进行相互比较,结果表明,比较1说明积极心理资本的特定中介效应显著高于适应性情绪表达的特定中介效应(P<0.05);比较2与比较3表明链式中介效应与积极心理资本的特定中介效应及适应性情绪表达的特定中介效应之间无统计学差异(P>0.05).结论个体社会资本在老年GERD患者的积极心理资本与适应性情绪表达具有中介作用.在临床工作中医护人员可通过提高老年GERD患者的个体社会资本水平,提高患者积极心理资本和增强适应性的情绪表达.
BACKGROUND Gastroesophageal reflux disease(GERD)is one of the most common digestive diseases in the elderly.The purpose of this study was to explore the role of individual social capital,positive psychological capital,and emotional expression in elderly GERD patients,so as to provide a reference for taking positive measures to improve individual social capital in patients.AIM To investigate the mediating effect of individual social capital on positive psychological capital and adaptive emotional expression in elderly patients with GERD.METHODS A total of 136 elderly GERD patients admitted to our hospital from February 2018 to December 2019 were selected by sampling convenience method.Individual social capital questionnaire,positive psychological capital scale,and emotional expression scale were used to assess individual social capital,positive psychological capital,and adaptive emotional expression,respectively.RESULTS The scores of social capital,positive psychological capital,inhibitive emotional expression,adaptive emotional expression,and transitional emotional expression of GERD patients were 19.87±3.46,124.36±16.58,17.58±3.76,19.96±3.83,and 9.65±2.85,respectively.Individual social capital of elderly GERD patients was positively correlated with positive psychological capital and adaptive emotional expression(r=0.269 and 0.245,respectively;P<0.05),and positive psychological capital was positively correlated with adaptive emotional expression(r=0.365,P<0.05).Using the structural equation model and taking the individual social capital as the independent variable and the positive psychological capital and the adaptive emotional expression as the mediating variables,the structural equation of the two variables acting together was explored.The multiple mediating effect was tested by Bootstrap method.Indirect effect 1 indicated that positive psychological capital had a mediating effect,accounting for 82.67%of the total mediating effect.The estimated effect value of indirect effect 2 was 0.456,indicating that adaptive emotional expression had a mediating effect,accounting for 12.05%of the total mediating effect.The estimated effect value of indirect effect 3 was 0.184,indicating that the chain mediating effect accounted for 4.68%of the total mediating effect.When comparing different mediating effects,comparison 1 indicated that the specific mediating effect of positive psychological capital was significantly higher than that of adaptive emotional expression(P<0.05).Comparison 2 and comparison 3 showed that there was no statistical difference between the chain mediating effect and the specific mediating effect of positive psychological capital and adaptive emotional expression(P>0.05).CONCLUSION Individual social capital plays an intermediary role in positive psychological capital and adaptive emotional expression in elderly GERD patients.In clinical work,medical staff can improve the individual social capital and positive psychological capital of elderly GERD patients and enhance their adaptive emotional expression.
作者
单巧妮
Qiao-Ni Shan(Yiwu Central Hospital,Jinhua 322000,Zhejiang Province,China)
出处
《世界华人消化杂志》
CAS
2020年第9期352-356,共5页
World Chinese Journal of Digestology
关键词
老年
胃食管反流
个体社会资本
人文关怀能力
积极心理资本
适应性情绪表达
中介作用
Elderly
Gastroesophageal reflux
Individual social capital
Humanistic care ability
Positive psychological capital
Adaptive emotional expression
Intermediary role
