高级检索

    反刍性沉思和家庭韧性在胸腰椎压缩骨折病人领悟社会支持与健康促进行为的链式中介效应分析

    Analysis of the chain mediating effect of rumination contemplation and family resilience in perceived social support and health-promoting behavior in patients with thoracolumbar compression fractures

      摘要
    • 摘要:
      目的 探讨反刍性沉思和家庭韧性在胸腰椎压缩骨折病人领悟社会支持与健康促进行为的链式中介效应。
      方法 选取132例胸腰椎压缩骨折病人为研究对象, 采用一般资料调查表、领悟社会支持量表(PSSS)、健康促进生活方式量表Ⅱ(HPLP-Ⅱ)、反刍性沉思问卷(C-ERRI)和家庭韧性评估量表(FRAS)对其进行问卷调查。运用Pearson分析法分析反刍性沉思、家庭韧性、领悟社会支持与健康促进行为之间的相关关系, 采用Amos 21.0软件建立结构方程模型(SEM)并进行中介效应检验。
      结果 120例胸腰椎压缩骨折病人反刍性沉思得分(30.73±4.62)分、家庭韧性得分(132.25±14.46)分、领悟社会支持得分(56.24±6.24)分、健康促进行为得分(137.25±14.85)分。文化程度、婚姻状况和家庭月收入是胸腰椎压缩骨折病人健康促进行为的影响因素, 健康促进行为与领悟社会支持、反刍性沉思、家庭韧性均呈正相关关系(P < 0.05)；胸腰椎压缩骨折病人领悟社会支持对健康促进行为的中介效应成立, 总间接效应占总效应的36.60%, 其中反刍性沉思的特定中介效应占17.10%, 家庭韧性的特定中介效应占12.20%, 反刍性沉思与家庭韧性在领悟社会支持和健康促进行为间的链式中介效应占7.30%。
      结论 临床医护人员在关注病人的领悟社会支持的同时, 应注重评估反刍性沉思和家庭韧性水平, 针对性的采取措施以增强社会支持对健康促进行为的影响。

       

      Abstract:
      Objective To explore the chain mediating effects of rumination contemplation and family resilience in perceived social support and health-promoting behaviors in patients with thoracolumbar compression fractures.
      Methods A total of 132 patients with thoracolumbar compression fractures were selected as the study subjects. General information questionnaire, perceived social support scale (PSSS), health promotion lifestyle scale Ⅱ (HPLP-Ⅱ), Chinese version of event related ruminative inventory(C-ERRI) and family resilience assessment scale (FRAS) were used. Pearson analysis was used to analyze the correlation between rumination, family resilience, perceived social support and health-promoting behavior, and Amos 21.0 software was used to establish a structural equation model (SEM) and to test the mediating effect.
      Results The 120 patients with thoracolumbar compression fractures in this study scored (30.73±4.62) points for rumination, (132.25±14.46) points for family resilience, (56.24±6.24) points for perceived social support, and (137.25±14.85) points for health-promoting behavior. Education level, marital status and monthly family income were the influencing factors of health-promoting behaviors in patients with thoracolumbar compression fractures. The health-promoting behaviors were positively correlated with perceived social support, rumination contemplation and family resilience (P < 0.05). The mediating effect of perceived social support on health-promoting behavior in patients with thoracolumbar compression fractures was established, and the total indirect effect accounted for 36.60% of the total effect. The specific mediating effect of rumination contemplation accounted for 17.10%, the specific mediating effect of family resilience accounted for 12.20%, and the chain mediating effect between rumination and family resilience in perceived social support and health-promoting behavior accounted for 7.30%.
      Conclusions While focusing on the patient's perceived social support, clinicians should focus on assessing levels of rumination contemplation and family resilience, and targeting measures to enhance the impact of social support on health-promoting behaviors.

       

      • HTML全文
      • 参考文献(26)
      • 相关文章
      • 施引文献
    • 资源附件(0)

    /

    返回文章
    返回