慢性病资源利用在冠心病PCI术后患者自我超越与自我管理行为间的中介效应

Mediating effects of chronic disease resource utilization between self-transcendence and self-management behaviors in coronary artery disease patients after PCI

目的 分析慢性病资源利用在冠心病PCI术后患者自我超越与自我管理行为间的中介作用。方法 采用一般资料调查表、自我超越量表、慢性病资源调查问卷、冠心病自我管理行为量表对720例冠心病PCI术后患者进行问卷调查。结果 冠心病PCI术后患者自我超越、慢性病资源利用、自我管理行为总分分别为(43.70±5.91)分、(55.12±8.37)分和(72.57±8.17)分;自我超越与慢性病资源利用呈正相关(r=0.562,P<0.01),两者与自我管理行为均呈正相关(r分别为0.516、0.717,P均<0.01);慢性病资源利用在自我超越与自我管理行为间起部分中介作用,中介效应占总效应的68.02%。结论 冠心病PCI术后患者自我超越可以直接影响自我管理行为,也可以通过慢性病资源利用发挥作用。

Objective To analyze the mediating role of chronic disease resource utilization between self-transcendence and self-management behaviors in postoperative coronary artery disease(CAD)patients after PCI.Methods A General Information Questionnaire,the Self-Transcendence Scale,the Chronic Disease Resource Questionnaire,and the Coronary Heart Disease Self-Management Behaviors Scale were used to survey 720 postoperative CAD patients after PCI.Results The total score of self-transcendence,chronic disease resource utilization,and self-management behaviors of patients after PCI was 43.70±5.91,55.12±8.37,and 72.57±8.17,respectively.Self-transcendence was positively correlated with chronic disease resource utilization(r=0.562,P<0.01),and both were positively correlated with self-management behaviors(r=0.516,r=0.717,both P<0.01).Chronic disease resource utilization played a partial mediating role between self-transcendence and self-management behaviors,accounting for 68.02%of the total effect.Conclusion Self-transcendence in CAD patients after PCI can directly influence self-management behaviors and can also play a role through chronic disease resource utilization.