摘要
[目的]分析心理弹性在老年慢性心力衰竭病人治疗希望与睡眠质量间的中介效应。[方法]选择2016年1月—2017年7月在我院接受治疗的172例老年慢性心力衰竭病人为研究对象,利用心理弹性量表(CD-RISC)、Herth希望量表(HHI)、匹兹堡睡眠质量指数(PSQI)测评病人心理弹性、治疗希望及睡眠质量。建立并检验心理弹性在病人治疗希望与睡眠质量间的中介效应。[结果]病人CD-RISC得分(55.03±11.62)分,HHI得分(36.32±5.13)分,PSQI得分(9.31±5.59)分。HHI得分与PSQI得分呈负相关(r=-0.705,P<0.001);CD-RISC得分与HHI得分呈正相关(r=0.741,P<0.001),与PSQI得分呈负相关(r=-0.831,P<0.001)。心理弹性在病人治疗希望与睡眠质量间存在中介效应,模型各路径系数均有统计学意义(P<0.05),各项拟合指标均较好。治疗希望对睡眠质量的直接效应为-0.58,且能够协同心理弹性对睡眠质量造成间接影响,间接效应为-0.16。[结论]老年慢性心力衰竭病人治疗希望对睡眠质量有直接预测作用,且心理弹性在其中发挥中介作用。
Objective:To analyze the mediating effect of resilience between treatment hope and sleep quality in elderly patients with chronic heart failure.Methods:A total of 172 elderly patients with chronic heart failure treated in our hospital from January 2016 to July 2017 were enrolled in this cross sectional study.Their physical resilience,treatment hope,sleep quality were evaluated by Connor Davidson Resilience Scale(CD RISC),Herth Hope Index(HHI),and Pittsburgh Sleep Quality Index(PSQI).A mediating model was proposed and the impacts of resilience on treatment hope and sleep quality were observed.Results:The average score of CD RISC was(55.03±11.62),of HHI was(36.32±5.13),of PSQI was(9.31±5.59).The scores of HHI and PSQI were a highly negative correlation(r=-0.705,P<0.001).The scores of CD RISC was positively correlated with the scores of HHI(r=0.741,P<0.001)and was negatively correlated with the scores of PSQI(r=-0.831,P<0.001).Resilience had a mediating effect between treatment hope and sleep quality,the coefficients of each path were significant(P<0.05),and all the fitting indexes were good.Treatment hope had direct effects(-0.58)on sleep quality and indirect effects(-0.160)on sleep quality through resilience.Conclusions:Treatment hope had direct effects on sleep quality and indirect effects on sleep quality through resilience in elderly patients with chronic heart failure.
作者
田震静
付爱丽
徐春爽
冯秀芳
TIAN Zhenjing;FU Aili;XU Chunshuang;FENG Xiufang(Tangshan Gongren Hospital,Hebei 063000 China)
出处
《护理研究》
北大核心
2019年第1期6-9,共4页
Chinese Nursing Research
基金
唐山市科学技术研究与发展指导计划项目
编号:10130288C
关键词
老年人
慢性心力衰竭
心理弹性
治疗希望
睡眠质量
中介效应
the elderly
chronic heart failure
resilience
treatment hope
sleep quality
mediating effect
