领悟社会支持在肺动脉高压患者主观幸福感与心理弹性间的中介作用分析-现代医学

领悟社会支持在肺动脉高压患者主观幸福感与心理弹性间的中介作用分析

单位：南京医科大学附属南京医院(南京市第一医院) 心内科, 江苏南京 210006

分类号：R395.1

出版年·卷·期（页码）：2023·51·第四期（494-500）

摘要：

目的:研究领悟社会支持在肺动脉高压(PAH)患者主观幸福感与心理弹性间的中介效应。方法:选取2021年1月至2022年10月在我院接受治疗的186例PAH患者为研究对象，调查患者一般资料，采用领悟社会支持量表(PSSS)、心理弹性量表(CD-RISC)、纽芬兰纪念大学幸福感量表(MUNSH)评估患者的领悟社会支持、心理弹性和主观幸福感水平。通过Pearson相关性分析PAH患者心理弹性和社会支持与主观幸福感之间的相关性，通过Logistic回归分析建立中介效应模型评估患者心理弹性的影响因素，以及中介路径模型研究领悟社会支持在PAH患者主观幸福感与心理弹性间的中介作用。结果: PAH患者PSSS评分为(48.39±5.63)分，CD-RISC评分为(60.31±5.32)分，MUNSH评分为(22.39±3.62)分；相关性分析显示PAH患者的心理弹性、领悟社会支持水平与主观幸福感呈正相关，其心理弹性与领悟社会支持也呈正相关；PAH患者心理弹性与主观幸福感之间的直接效应系数为0.54，通过领悟社会支持的间接效应值为0.25，总效应值为0.79。结论:领悟社会支持在PAH患者主观幸福感与心理弹性间发挥中介作用，医护人员可以通过提高患者心理弹性和领悟社会支持从而提高患者的主观幸福感。

Objective: To investigate the mediating effect of perceived social support on subjective well-being and resilience in patients with pulmonary arterial hypertension(PAH). Methods: A total of 186 PAH patients who were treated in our hospital from January 2021 to October 2022 were selected as the research objects. The general data of the patients were investigated. The perceived social support scale(PSSS) and the Connor-Davidson resilience scale(CD-RISC) and Memorial University of Newfoundland scale of happiness(MUNSH) were used to assess perceived social support, resilience, and subjective well-being. Pearson correlation was used to analyze the correlation between psychological resilience, social support and subjective well-being in PAH patients, and Logistic regression analysis was used to establish a mediating effect model to evaluate the influencing factors of patients' mental resilience. The mediating effect of social support on subjective well-being and mental resilience in PAH patients was studied with the mediating pathway model. Results:PSSS score of PAH patients was(48.39±5.63) points, CD-RISC score was(60.31±5.32) points, MUNSH score was(22.39±3.62) points. The correlation analysis showed that the psychological resilience and perceived social support of PAH patients were positively correlated with subjective well-being, and the psychological resilience and perceived social support were also positively correlated. The direct effect coefficient between resilience and subjective well-being in PAH patients was 0.54, the indirect effect value through perceived social support was 0.25, and the total effect value was 0.79. Conclusion:Perceived social support plays a mediating role between subjective well-being and resilience in PAH patients. Medical staff can improve patients' resilience and perceived social support to improve patients' subjective well-being.

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