正念心理特质对冠心病PCI术后病人健康素养与服药依从性的中介效应

朱媛媛; 祖大玲; 高伟; 黄敏

doi:10.13898/j.cnki.issn.1000-2200.2023.10.027

正念心理特质对冠心病PCI术后病人健康素养与服药依从性的中介效应

Mediating effect of mindfulness psychological trait on the health literacy and medication compliance of patients with coronary heart disease after PCI

摘要

摘要:
目的了解冠心病经皮冠状动脉介入治疗(PCI)术后病人服药依从性现状, 分析正念心理特质在健康素养与服药依从性间的中介效应。
方法应用便利抽样法, 选取212例冠心病PCI术后病人为研究对象, 采用一般情况调查表、五因素正念量表、慢性病病人健康素养量表及Morisky服药依从性量表对其进行问卷调查。运用Pearson分析法分析正念心理特质、健康素养、服药依从性之间的相关关系, 并建立结构方程模型进行中介效应检验。
结果冠心病PCI术后病人正念心理特质总分为(96.76±10.64)分, 健康素养总分为(87.55±9.47)分, 服药依从性总分为(6.24±0.72)分。Pearson分析结果显示: 正念心理特质总分和4个维度与健康素养总分和3个维度间均呈正相关性(P < 0.01~P < 0.05);正念心理特质总分和4个维度与服药依从性总分间均呈正相关性(P < 0.01);健康素养总分和4个维度与服药依从性总分间均呈现正相关性(P < 0.01)。结构方程模型结果显示, 正念心理特质在健康素养与服药依从性间具有部分中介效果, 中介效应占总效应的35.38%。
结论冠心病PCI术后病人正念心理特质、健康素养与服药依从性评分均处于中等水平, 冠心病PCI术后病人服药依从性与健康素养和正念心理特质均存在密切正相关性, 正念心理特质在健康素养与服药依从性具有35.38%中介效应。

Abstract:
ObjectiveTo understand the current status of medication compliance in patients with coronary heart disease after percutaneous coronary intervention(PCI), and to analyze the mediating effect of mindfulness psychological trait on health literacy and medication compliance.
MethodsThe convenience sampling method was used to select 212 patients with coronary heart disease after PCI as the research objects.The general situation questionnaire, five-factor mindfulness scale, health literacy of patients with chronic diseases and Morisky medication compliance scale were used to conduct questionnaire survey.Pearson analysis was used to analyze the correlation between mindfulness psychological trait, health literacy and medication compliance, and a structural equation model was established to test the mediating effect.
ResultsThe total score of mindfulness psychological trait of patients with coronary heart disease after PCI was (96.76±10.64) points, the total score of health literacy was (87.55±9.47) points, and the total score of medication compliance was (6.24±0.72) points.Pearson analysis results showed that the total scores of mindfulness psychological trait and 4 dimensions were positively correlated with the total scores of health literacy and 3 dimensions (P < 0.05 to P < 0.01);the total scores of mindfulness psychological trait and the 4 dimensions were positively correlated with the total scores of medication compliance (P < 0.01);the total score of health literacy and the 4 dimensions were positively correlated with the total score of medication compliance (P < 0.01).The results of the structural equation model showed that the mindfulness psychological trait had a partial mediating effect between health literacy and medication compliance, and the mediating effect accounted for 35.38% of the total effect.
ConclusionsThe scores of mindfulness psychological trait, health literacy, and medication compliance in patients with coronary heart disease after PCI are all at a moderate level.There is a close positive correlation between medication compliance and health literacy and mindfulness psychological trait in patients.Mindfulness psycholegical trait has 35.38% mediating effect between health literacy and medication compliance.

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