积极、消极情感在社区老年高血压患者疾病感知与健康促进行为之间的双重中介作用

目的 探讨社区老年高血压患者疾病感知和健康促进行为的关系及积极、消极情感在两者之间的中介作用。方法 采用疾病感知问卷简化版(BIPQ)、老年人健康促进行为量表(GHP),积极、消极情感量表(PANAS)对2021年12月至2022年2月广州市3家社区卫生服务中心和1家三甲医院的高血压门诊就诊的240例老年高血压患者进行横断面调查。构建结构方程模型,并采用Bootstrap抽样法对模型进行验证。结果 社区老年高血压患者疾病感知总分为(24.74±4.45)分,健康促进行为总分为(71.78±8.70)分,积极情感总分为(20.15±3.55)分,消极情感总分为(12.16±3.11)分。相关分析显示,疾病感知、消极情感与健康促进行为呈负相关(P<0.01);积极情感与健康促进行为呈正相关(P<0.01);疾病感知与消极情感呈正相关(P<0.01),而与积极情感呈负相关(P<0.01)。双重中介结构方程模型显示：拟合优度检验(χ²/df)=1.641、近似残差均方根(RMSEA)=0.054、比较拟合指数(CFI)=0.961。积极、消极情感在...

The dual mediating effect of positive and negative emotion on disease perception and health promotion behavior in elderly hypertensive patients in community

Objective To investigate the correlations between disease perception and health promotion behavior and the positive and negative emotion in elderly hypertensive patients in community. Methods From December 2021 to February 2022, totally 240 elderly patients with hypertension in community in Guangzhou were investigated with the simplified Disease Perception Questionnaire (BIPQ), health Promotion Behavior Scale for the elderly (GHP), and positive and negative emotion Scale (PANAS). Structural equation model was established to explore the correlations among disease perception, health promotion behavior, positive and negative emotions. Results The total score of disease perception, health promotion behavior, positive emotion and negative emotion were 24.74±4.45, 71.78±8.70, 20.15±3.55 and 12.16±3.11, respectively. Correlation analysis showed that disease perception, negative emotion and health promotion behavior were negatively correlated (P<0.01). Positive emotion was positively correlated with health promotion behavior (P<0.01). Disease perception was positively correlated with negative emotion (P<0.01) but was negatively correlated with positive emotion (P<0.01). The results showed that goodness of fit test 2/df=1.641, root mean square of approximate residual error (RMSEA)=0.054, and comparative fitting index (CFI)=0.961. Both positive and negative emotions play dual mediating roles in disease perception and health promotion behavior, and both were incomplete mediating roles. The mediating effect value of positive and negative emotion was -0.265, accounting for 27.9% of the total effect. Conclusion Positive and negative emotions are mediating variables of disease perception and health promotion behavior in elderly hypertensive patients in community. Psychological intervention can further improve the level of health promotion behavior in elderly hypertensive patients.