益处发现在急性脑梗死患者介入治疗后正念水平与应对方式间的中介效应

Intermediary effect of benefit finding in the mindfulness level and coping style of acute cerebral infarction patients who received interventional therapy

目的:观察急性脑梗死(ACI)患者介入治疗后的正念水平与应对方式,并分析益处发现在二者之间的中介效应,为医护人员在临床实施正念干预提供理论依据。方法:采用方便取样方法于2019年10月至2021年10月采用一般资料调查表、五因素正念量表(FFMQ)、益处发现评定量表(BFS)、简易应对方式问卷(SCSQ)对郑州大学第一附属医院130例ACI介入治疗后的患者进行横断面调查,分析益处发现、正念水平与应对方式间的关系以及益处发现在其中的中介效应。结果:130例ACI患者介入治疗后FFMQ总分为(123.34±5.14)分;BFS评分、积极应对评分、消极应对评分分别为(49.73±3.41)、(20.35±2.25)、(13.18±1.45)分;正念水平、益处发现与积极应对均呈正相关(r=0.687、0.737,均P<0.05);正念水平、益处发现与消极应对均呈负相关(r=-0.654、-0.779,均P<0.05);益处发现在ACI患者介入治疗后正念水平对积极应对、消极应对的影响中均发挥部分中介效应的作用,贡献率分别为49.71%、64.58%。结论:益处发现在ACI介入治疗后患者的正念水平与应对方式起到部分中介作用。

Objective To observe the level of mindfulness and coping style in patients with acute cerebral infarction(ACI)after interventional therapy,and analyze the intermediary effect of benefit finding between them,so as to provide a theorectical basis of implement mindfulness intervention in clinical practice.MethodsThe 130 patients with ACI after interventional treatment in the First Affiliated Hospital of Zhengzhou University from October 2019 to October 2021 were included in this cross-sectional survey study.The general data questionnaire,Five-factor Mindfulness Scale(FFMQ),Benefit Finding Rating Scale(BFS),and Simple Coping Style Questionnaire(SCSQ)were used to analyze the relationship between benefit finding,mindfulness level and coping style,and the intermediary effect of benefit finding between them.ResultsThe total FFMQ score of 130 ACI patients after interventional therapy was(123.34±5.14)points.The BFS score,positive coping score and negative coping score were(49.73±3.41),(20.35±2.25),(13.18±1.45)points,respectively.The level of mindfulness and benefit were positively correlated with positive coping(r=0.687,0.737,both P<0.05).The level of mindfulness and benefit were negatively correlated with negative coping(r=-0.654,-0.779,both P<0.05).It was found that mindfulness level played a partial intermediatory effect on positive coping and negative coping in ACI patients after interventional therapy,with contribution rates of 49.71%and 64.58%,respectively.ConclusionsBenefit finding plays a partial intermediary effect on the level of mindfulness and coping style of patients with ACI after interventional therapy.