摘要
目的探讨自尊对冠状动脉粥样硬化性心脏病(简称冠心病)患者健康行为的影响以及应对方式的中介效应。方法便利抽样法选取2010年11月至2011年3月在山东省某三级甲等医院心内科住院的140例冠心病患者,采用健康促进生活方式量表Ⅱ(health-promoting lifestyle profileⅡ,HPLPⅡ)、自尊量表(self-esteem scale,SES)及医学应对方式问卷(medi-cal coping modes questionnaire,MCMQ)对患者进行问卷调查。结果患者自尊量表的平均得分为(27.59±5.17)分,应对方式中面对、回避、屈服的平均得分分别为(19.40±5.48)、(17.49±2.28)、(10.78±4.51)分。健康行为量表平均得分为(124.48±31.03)分。冠心病患者自尊、健康行为、应对方式之间存在相关性。面对型应对方式在自尊与健康行为的关系中起到完全中介效应;回避型及屈服型应对方式则在其中起到部分中介效应,中介效应占总效应的比例分别为17.17%、63.72%,对健康行为的方差变异解释力分别为17.61%、41.47%。结论对冠心病患者的健康行为干预可以提升患者自尊水平及改善患者的应对方式。
Objective To explore the influences of self-esteem on health behaviors of patients with（CHD） and the mediating effects of coping modes.Methods From November 2010 to March 2011,140 CHD inpatients from a Grade-III Class-A Hospital in Shandong Province were investigated with health-promoting lifestyle profile Ⅱ（HPLP Ⅱ）,self-esteem scale（SES）,and medical coping modes questionnaire（MCMQ）.Results The average score of SES was 27.59±5.17.The average score of coping modes of confrontation,avoidance and compromising were 9.40±5.48,17.49±2.28 and 10.78±4.51,respectively.The average score of HELP II was 124.48±31.03.There was a correlation between the coping modes of confrontation,avoidance and compromising.The confrontation coping mode totally mediated the influence of self-esteem on health behaviors.Avoidance coping mode and compromising coping mode partially mediated the influence of self-esteem on health behaviors,and their mediating effects were 17.17%,63.72%,whose explanations to variations of health behaviors were 17.61%,41.47%.Conclusion The promotion of self-esteem and the improvement of coping modes of CHD patients can be regarded as the intervention to improve their health behaviors.
出处
《解放军护理杂志》
2011年第20期10-12,16,共4页
Nursing Journal of Chinese People's Liberation Army
关键词
健康行为
自尊
应对方式
冠心病
health behavior
self-esteem
coping mode
coronary heart disease（CHD）
