老年冠心病PCI术后患者目标承诺、应对方式在家庭功能与感知控制间的中介作用

目的 分析老年冠心病经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者目标承诺、应对方式在家庭功能与感知控制之间的中介作用.方法 采用一般资料调查表、修订版控制态度量表(Control Attitudes Scale-Revised,CAS-R)、家庭关怀度指数...

Analysis of the mediating effect of goal commitment and coping style between family function and perceived control in elderly patients with coronary heart disease after PCI

  Objective  To analyze the mediating effect of goal commitment and coping style between family function and perceived control in elderly patients with coronary heart disease after percutaneous coronary intervention (PCI).  Methods  A questionnaire survey was conducted among 308 elderly patients with coronary heart disease after PCI using the General Information Questionnaire, the Control Attitudes Scale-Revised (CAS-R), the Family Adaption, Partnership, Growth, Affection, Resolve Index (APGAR), the Goal Commitment Self-report Scale (HWK), and the Simplified Coping Style Questionnaire-Postive Coping (SCSQ).  Results  The perceived control score was (27.35±3.44) points, family function score was (7.83±1.48) points, goal commitment score was (18.57±2.89) points, and positive response score was (21.96±2.46) points, respectively. Family function, positive coping were positively predictive of perceived control (all P < 0.01); Goal commitment and positive coping had a chain mediating effect between family function and perceived control (β=0.204, 95% CI: 0.127-0.269, P < 0.01), the mediating effect accounted for 46.90% of the total effect.  Conclusions  The family function can directly affect patient's perceived control. Also, it indirectly affects their perceived control through the mediating effect of positive coping and the chain mediating effect of goal commitment and positive coping.