平静心境在冠心病老年患者自我接纳与幸福感间的调节效应

doi:10.16460/j.issn1008-9969.2021.15.054

摘要/Abstract

摘要： 目的分析冠心病老年患者的平静心境在自我接纳与幸福感间的调节效应。方法采用便利抽样方法,选取本院老年科于2019年1月—2020年1月收治冠心病老年患者289例作为研究对象。采用一般资料问卷、纽芬兰大学幸福感量表、平静心境量表和自我接纳问卷对其进行调查。采用多元线性回归验证平静心境对自我接纳与幸福感调节效应;采用简单斜率分析高、低平静心境分别对高、低自我接纳与幸福感之间调节效应的差异性;采用Johnson-Neyman分析平静心境对自我接纳与幸福感调节效应的边界值。结果本组冠心病老年患者幸福感总分为（25.94±4.22）分,自我接纳总分为（23.15±4.35）分,平静心境总分为（13.12±3.58）分。平静心境在自我接纳与幸福感间的存在调节效应（β=0.108,P<0.05）。简单斜率检验可得,在低幸福感情况下,自我接纳对平静心境的预测斜率有统计学意义（β=0.336,P<0.001）,Johnson-Neyman技术分析探明平静心境的调节效应边界值为8.44。结论本组冠心病老年患者在其自我接纳直接影响幸福感的过程中必然受到平静心境的影响,应采取积极干预手段提升冠心病老年患者平静心境,纠正其不良心理。

关键词: 冠心病, 老年患者, 幸福感, 自我接纳, 平静心境

Abstract: Objective To analyze the mediating effect of inner peace between self-acceptance and happiness in elderly patients with coronary heart disease (CHD). Methods A total of 289 elderly patients with CHD were selected as research objects through convenient sampling method in our hospital from January 2019 to January 2020.They were surveyed by general information questionnaire, Memorial University of New-found Land Scale of Happiness, Inner Peace State Scale and Self-acceptance Questionnaire. The mediating effect of inner peace between self-acceptance and happiness was verified through multiple linear regression.The difference of mediating effect of high and low inner peace between high self-acceptance, low self-acceptance respectively and happiness were analyzed through simple slope test.Johnson-Neyman technique was used to analyze the boundary value of the mediating effect of inner peace between self-acceptance and happiness. Results The total score of happiness was 25.94±4.22. The score of self-acceptance was 23.15±4.35 and that of inner peace was 13.12±3.58 in elderly patients with CHD. There was mediating effect of inner peace between self-acceptance and happiness(β=0.108, P<0.05). Simple slope test showed that there was statistical significance in the prediction slope of self -acceptance to happiness under low inner peace(β=0.336, P<0.001). Johnson-Neyman technique showed that the boundary value of regulatory effect of inner peace was 8.44. Conclusion There is mediating effect of inner peace between self-acceptance and happiness in elderly patients with CHD and we should take active intervention measures to improve inner peace of elderly patients with CHD.

Key words: coronary heart disease, elderly patient, happiness, self-acceptance, inner peace

中图分类号:

R473.54

潘璐, 张建薇. 平静心境在冠心病老年患者自我接纳与幸福感间的调节效应[J]. 护理学报, 2021, 28(15): 54-59.

PAN Lu, ZHANG Jian-wei. Mediating Effect of Inner Peace between Self-acceptance and Happiness in Elderly patients with Coronary Heart Disease[J]. Journal of Nursing, 2021, 28(15): 54-59.

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