脑梗死患者医学应对与生命质量:心理弹性的中介作用和自我效能感的调节作用OA
Medical coping and quality of life in patients with cerebral infarction:The mediating role of psychological resilience and the moderating role of self-efficacy
目的:探讨医学应对方式对脑梗死患者生命质量的影响机制,并验证其中心理弹性的中介效应和自我效能感的调节效应.方法:以某医院2023年1月至2024年12月收治的100例脑梗死患者为研究对象,采用医学应对方式问卷(MCMQ)、脑卒中生命质量测定量表(QLICD-ST)、心理弹性量表(CD-RISC)、一般自我效能感量表(GSES)对患者进行问卷调查.结果:①脑梗死患者面对、回避、屈服应对方式得分分别为14.08±4.56分、14.60±2.25分、10.10±3.24分,心理弹性、自我效能感及生命质量总分分别为41.51±5.79分、50.99±8.13分、22.69±3.48分、139.56±15.69分,均处于中等水平.②脑梗死患者的医学应对方式、心理弹性、自我效能感和生命质量呈显著相关.心理弹性与自我效能感、生命质量呈显著正相关,自我效能感与生命质量呈显著正相关.③面对应对方式的直接效应为1.092,相对中介效应比为75.89％,心理弹性的中介效应为0.347,相对中介效应比为24.11％.心理弹性与自我效能感交互项显著(β=0.122,P＜0.05),高自我效能感组心理弹性预测生存质量(β=0.310,P＜0.05),低水平组不显著(β=0.063,P＞0.05).结论:脑梗死患者的医学应对方式不仅直接影响其生命质量,还会通过心理弹性间接影响其生命质量;自我效能感能够调节心理弹性在医学应对方式与生命质量间的中介作用.
Objective:To explore the mechanism of the influence of medical coping styles on the quality of life of patients with cerebral infarction,and to verify the mediating effect of psychological elasticity and the moderating effect of self-efficacy among them,so as to provide reference for the improvement of the quality of life of patients with cerebral infarction.Methods:100 patients with cerebral infarction admitted to our hospital from January 2023 to December 2024 were taken as the study subjects,and the Medical Coping Mode Questionnaire(MCMQ),Quality of Life in Stroke Determination Scale(QLICD-ST),Psychological Resilience Inventory(CD-RISC),and General Self-Efficacy Scale(GSES)were used to conduct questionnaire surveys on the patients.Results:① The confrontation,a-voidance and submission coping style scores of the patients with cerebral infarction were 14.08±4.56,14.60±2.25 and 10.10±3.24,respectively,and the total scores of psychological resilience,self-efficacy and quality of life were 41.51±5.79,50.99±8.13,22.69±3.48 and 139.56±15.69 points,all of which were at a moderate level.②The medi-cal coping styles,psychological resilience,self-efficacy and quality of life of patients with cerebral infarction were significantly correlated.Psychological resilience was positively correlated with self-efficacy and quality of life,and self-efficacy was positively correlated with quality of life.③The direct effect of coping styles was 1.092,with a rela-tive mediating effect ratio of 75.89％,and the mediating effect of psychological resilience was 0.347,with a relative mediating effect ratio of 24.11％.The interaction term between psychological resilience and self-efficacy was signifi-cant(β=0.122,P＜0.05).In the high self-efficacy group,psychological resilience predicted quality of life(β=0.310,P＜0.05),while in the low-level group,it was not significant(β=0.063,P＞0.05).Conclusion:The medical coping styles of patients with cerebral infarction not only can directly affect their quality of life,but also indirectly affect their quality of life through psychological elasticity;Self-efficacy can modulate the mediating role of psychological elasticity between medical coping styles and quality of life.
党明;赵越;韩文娟;翟蒙翠;付胜奇
河南省焦作市人民医院神经内科三区 454000焦作市人民医院神经外科肿瘤组河南省焦作市人民医院神经内科三区 454000焦作市人民医院神经内科二区郑州人民医院神经内科
医药卫生
脑梗死医学应对生命质量心理弹性自我效能感
Cerebral infarctionMedical copingQuality of lifePsychological resilienceSelf-efficacy
《中国健康心理学杂志》 2026 (8)
1181-1187,7
2020年度河南省医学科技攻关计划联合共建立项项目(编号:LHGJ20200683)
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