慢性病资源利用对心肌梗死患者健康相关生活质量的影响：应对方式的中介作用

季玲; 余莉; 卢层层; 张锡岩; 杨贵荣

doi:10.16016/j.1000-5404.202103109

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慢性病资源利用对心肌梗死患者健康相关生活质量的影响：应对方式的中介作用

临床医学 | 更新时间：2026-01-09

- 慢性病资源利用对心肌梗死患者健康相关生活质量的影响：应对方式的中介作用
- Impact of chronic disease resource utilization on health-related quality of life in patients with myocardial infarction: mediating role of coping styles
- 第三军医大学学报 2021年43卷第17期页码：1689-1695
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.202103109
  中图分类号：
- 收稿：2021-03-18，
  
  纸质出版：2021-09-15
- 稿件说明：
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季玲, 余莉, 卢层层, 等. 慢性病资源利用对心肌梗死患者健康相关生活质量的影响：应对方式的中介作用[J]. 第三军医大学学报, 2021,43(17):1689-1695.

Ling JI, Li YU, Cengceng LU, et al. Impact of chronic disease resource utilization on health-related quality of life in patients with myocardial infarction: mediating role of coping styles[J]. Journal of Third Military Medical University, 2021, 43(17): 1689-1695.
季玲, 余莉, 卢层层, 等. 慢性病资源利用对心肌梗死患者健康相关生活质量的影响：应对方式的中介作用[J]. 第三军医大学学报, 2021,43(17):1689-1695. DOI： 10.16016/j.1000-5404.202103109.

Ling JI, Li YU, Cengceng LU, et al. Impact of chronic disease resource utilization on health-related quality of life in patients with myocardial infarction: mediating role of coping styles[J]. Journal of Third Military Medical University, 2021, 43(17): 1689-1695. DOI： 10.16016/j.1000-5404.202103109.

摘要

目的

探讨心梗患者慢性病资源利用对健康相关生活质量（health-related quality of life

HRQOL）的影响及应对方式在此二者间的中介作用。

方法

采取方便抽样法

抽取2019年9月至2020年9月在某两所三甲医院就诊的368例心梗患者

利用一般资料调查表、慢性病资源利用调查量表（CIRS）、医学应对方式问卷（MCMQ）和心肌梗死多维度量表（MIDAS-35）进行问卷调查。分析资源利用与应对方式和HRQOL的关系

进一步探讨资源利用对HRQOL的影响

同时采用Process宏分析应对方式在二者中的中介作用。

结果

① CIRS得分与MIDAS-35得分呈负相关(

=-0.357

0.001)

与MCMQ得分均呈正相关(

=0.320

0.001)；MIDAS-35得分与MCMQ得分呈正相关（

=0.326

0.001）；②回归分析显示：女性、心功能Ⅳ级、心梗部位为前间壁、医学应对方式及资源利用为心梗患者HRQOL的影响因素

共同解释心梗患者HRQOL的36.70%

其中资源利用医护人员(β=-0.121

=0.011)、家人朋友(β=-0.107

=0.041)及社区邻里(β=-0.129

=0.017)维度正向影响心梗患者的HRQOL；③应对方式在资源利用

与HRQOL间的中介效应占总效应比例为64.48%。

结论

应对方式在资源利用与HRQOL间起完全中介作用

医务人员可通过指导患者采取积极的应对方式进而提高其HRQOL。

Abstract

Objective

To explore the impact of chronic disease resource utilization on health-related quality of life (HRQOL) in patients with myocardial infarction and investigate the mediating role of coping styles between the utilization and HRQOL.

Methods

Convenience sampling was adopted to select 368 patients with myocardial infarction treated in 2 tertiary hospitals from September 2019 to September 2020. General information questionnaire

Chronic Illness Resource Survey (CIRS)

Medical Coping Modes Questionnaire (MCMQ)

and Myocardial Infarction Multidimensional Scale (MIDAS-35) were employed to conduct a questionnaire survey on them. The relationship of resource utilization with coping styles and HRQOL was analyzed to further explore the impact of resource utilization on HRQOL. Process macro was used to analyze the mediating role of coping styles between the utilization and HRQOL.

Results

① CIRS score was negatively correlated with MIDAS-35 score (

=-0.357

0.001)

and positively with MCMQ score (

=0.320

0.001); MIDAS-35 score was positively correlated with MCMQ score (

= 0.326

0.001); ②Regression analysis showed that women

heart function grade IV

myocardial infarction site at the anterior septum

medical coping style and resource utilization were the influencing factors of HRQOL in patients with myocardial infarction

which jointly explained 36.70% of HRQOL in these patients. Among them

the dimensions of resource utilization medical staff (β=-0.121

=0.011)

family and friends (β=-0.107

=0.041) and community neighborhoods (β=-0.129

=0.017) positively

affected HRQOL in the patients; ③The mediating effect of coping style between resource utilization and HRQOL accounted for 64.48% of the total effect.

Conclusion

Coping styles play a complete intermediary role between resource utilization and HRQOL. Medical staff can instruct patients to adopt positive coping styles to improve their HRQOL.

关键词

Keywords

references

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