应对方式在老年住院患者主观幸福感与社会支持间中介效应分析

目的 探讨老年住院患者主观幸福感与社会支持、应对方式的相关性，对应对方式的中介效应进行分析。方法 从辽宁省锦州市2所三甲医院的住院患者中方便抽取住院老年人600名，使用一般资料调查表，社会支持评定量表（SSRS）、简易应对方式量表（SCSQ）和纽芬兰纪念大学幸福度量表（MUNSH）进行调查，运用SPSS21.0、AMOS22.0软件和PRODCLIN程序对收集的数据进行统计分析。结果 社会支持与积极应对呈正向关联（r = 0.428，P＜0.001），与消极应对呈负相关联（r = -0.610，P＜0.001），与主观幸福感呈正相关联（r = 0.532，P ＜0.001）；主观幸福感与积极应对呈正相关联（r = 0.473，P ＜0.001），与消极应对呈负相关联（r = -0.639，P ＜0.001）；社会支持各维度对主观幸福感预测作用均有统计学意义；积极应对方式对主观幸福感的正向预测作用有统计学意义，消极应对方式对主观幸福感的负向预测作用有统计学意义；应对方式在社会支持与主观幸福感间起部分中介效应，中介效应占总效应的48.6%（0.358/0.736）。结论 应对方式在老年住院患者主观幸福感与社会支持间起部分中介效应。

Analysis of the mediating effect of coping style on subjective well-being and social support among elderly inpatients

Objective The study explored the correlation between subjective well-being and social support among the elderly inpatients, and analyzed the mediating effect of coping style. Methods 600 elderly patients who hospitalized at two AAA hospitals in Jinzhou City of Liaoning Province were selected and surveyed by demographic questionnaire, social support rating scale (SSRS), simplified coping style questionnaire (SCSQ), and the Memorial University of Newfoundland Scale of Happiness (MUNSH). The results were statistically analyzed by using SPSS21.0 software, AMOS22.0 software, and PRODCLIN procedure. Results Social support was positively correlated with positive coping style (r=0.428, P<0.001), negatively correlated with negative coping style (r=0.473, P <0.001), and positively correlated with subjective well-being (r=0.532, P <0.001). Subjective well-being was positively correlated with positive coping style (r=0.473, P <0.001), negatively correlated with negative coping style (r=-0.639, P <0.001), and the predictive effect of different dimensions of social support on subjective well-being were statistically significant. The positive predictive effect of positive coping style on subjective well-being was statistically significant, the negative predictive effect of negative coping style on subjective well-being was statistically significant. Coping style played a partial mediating role between social support and subjective well-being, accounted for 48.6% (0.358/0.736) of the overall effect.