摘要
目的探究冠心病患者社会资本、心理弹性及自我效能与生命质量的关系。方法回顾性分析2021年4月-2024年4月青岛市胶州中心医院内科收治的548例冠心病患者临床资料,入院时采用心血管病人生命质量评定问卷(China Questionnaire of Quality of Life in Patients with Cardiovascular Diseases,CQQC)、社会资本量表、Conner和Davidson的韧性量表(Conner Davidson Resilience Scale,CD-RISC)、自我效能感量表(General Self-efficacy Scale,GSES)分别对患者生命质量、社会资本、心理弹性及自我效能水平进行问卷调查,采用差异比较、相关分析、多元线性回归分析冠心病患者生命质量与社会资本、心理弹性、自我效能的关系。结果548例冠心病患者的平均CQQC、社会资本、CD-RISC、GSES得分分别为(79.25±10.38)分、(20.45±3.67)分、(57.83±8.61)分、(40.05±5.59)分;根据患者最终CQQC得分情况分组,组间教育程度、病程、并发症人数差异具有统计学意义(P<0.05),低水平组社会资本、CD-RISC、GSES得分均低于高水平组(P<0.05);患者社会资本、心理弹性、自我效能感与生命质量的相关系数分别为0.515、0.712、0.631,均呈正相关,有统计学意义(P<0.05);多元回归分析结果显示,社会资本得分、CD-RISC得分、GSES得分与生命质量水平显著相关(OR分别为34.022、3.487、5.807,P值分别为0.003、0.003、0.005)。结论冠心病患者的生命质量与社会资本、心理弹性、自我效能高度相关,应根据患者的个体特点采取适当措施,综合各种因素提高患者的社会资本、心理弹性及自我效能水平。
Objective To explore the relationship between social capital,psychological resilience,self-efficacy and quality of life in patients with coronary heart disease.Methods Retrospective analysis of clinical data of 548 patients with coronary heart disease admitted to Jiaozhou Central Hospital in Qingdao from April 2021 to April 2024 was conducted.The quality of life,social capital,psychological resilience and self-efficacy of patients were investigated by Chinese Questionnaire of Quality of Life in Patients with Cardiovascular Diseases(CQQC),Social Capital Scale,Conner Davidson Resilience Scale(CD-RISC)and General Self-efficacy Scale(GSES)at admission.Difference comparison,correlation analysis and multivariate linear regression analysis were used to analyze the relationship between quality of life and social capital,psychological resilience and self-efficacy in patients with coronary heart disease.Results The scores of average CQQC,social capital,CD-RISC and GSES of 548 patients with coronary heart disease were(79.25±10.38)points,(20.45±3.67)points,(57.83±8.61)points and(40.05±5.59)points,respectively.The patients were grouped according to the final CQQC score.There were statistical differences in education level,disease course and number of complications between groups(P<0.05).The correlation coefficients of social capital,psychological resilience and self-efficacy with quality of life of patients were 0.515,0.712 and 0.631,and they were positively correlated with each other(P<0.05).Multivariable regression analysis showed that social capital score,CD-RISC score and GSES score were significantly correlated with quality of life(OR=34.022,3.487,5.807,P=0.003,0.003,0.005).Conclusion The quality of life of patients with coronary heart disease is highly correlated with social capital,psychological resilience and self-efficacy.Appropriate measures should be taken according to the individual characteristics of patients,and various factors should be integrated to improve the social capital,psychological resilience and self-efficacy of patients.
作者
汪芳
王淑萍
王巧云
陈新建
WANG Fang;WANG Shuping;WANG Qiaoyun;CHEN Xinjian(Department of Cardiovascular Medicine,Jiaozhou Central Hospital of Qingdao,Qingdao,Shandong,266300,China;不详)
出处
《中国社会医学杂志》
2025年第2期184-187,共4页
Chinese Journal of Social Medicine
基金
山东省医药卫生科技项目(202303070917)。
关键词
冠心病
生命质量
社会资本
心理弹性
自我效能
相关性
Coronary heart disease
Quality of life
Social capital
Psychological resilience
Self-efficacy
Correlation
