The chain mediating role of social support and yielding coping style between health literacy and symptom burden in patients with chronic heart failure.

IF 2.8 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Frontiers in Cardiovascular Medicine Pub Date : 2025-03-04 eCollection Date: 2025-01-01 DOI:10.3389/fcvm.2025.1518175

Jing Yan, Long Zhou, Guangyu Song, Yangyang Yuan

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引用次数: 0

Abstract

Objective: To explore the mediating effects of social support and coping style on health literacy and symptom burden in patients with chronic heart failure.

Methods: A total of 200 patients with chronic heart failure in Grade 3A Hospitals in Jiangsu province of China were investigated by using General Data Questionnaire, Memorial Symptom Assessment Scale for Heart Failure, Chinese Version of Heart Failure Specific Health Literacy Scale, Perceived Social Support Scale, and Medical Coping Modes Questionnaire.

Results: Symptom burden score of patients with chronic heart failure was (0.73 ± 0.45), health literacy score was (29.38 ± 9.76), social support score was (59.15 ± 10.58), and yielding coping style score was (9.18 ± 4.13). There were significant correlations among health literacy, social support, coping style and symptom burden in patients with chronic heart failure. The results of mediating effect analysis showed that health literacy of patients with chronic heart failure could influence symptom burden through the chain mediating effect of social support-yielding coping style. The effect size was -0.008, and the 95% confidence interval did not include 0 (-0.011, -0.006).

Conclusion: The health literacy of patients with chronic heart failure has an indirect impact on the burden of symptoms through social support and yielding coping style, suggesting that medical staff should take social support and coping style as a breakthrough from the perspective of health literacy of patients with chronic heart failure, so as to achieve the purpose of improving the health literacy of patients with chronic heart failure and reducing the burden of symptoms.

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社会支持和屈服应对方式在慢性心力衰竭患者的健康素养与症状负担之间的连锁中介作用。

目的：探讨社会支持和应对方式对慢性心力衰竭患者健康素养和症状负担的中介作用。方法：采用《一般资料问卷》、《心力衰竭纪念症状评定量表》、《中文版心力衰竭专项健康素养量表》、《感知社会支持量表》和《医疗应对方式问卷》对江苏省三甲医院慢性心力衰竭患者200例进行调查。结果：慢性心力衰竭患者症状负担评分为（0.73±0.45）分，健康素养评分为（29.38±9.76）分，社会支持评分为（59.15±10.58）分，屈服应对方式评分为（9.18±4.13）分。慢性心力衰竭患者健康素养、社会支持、应对方式与症状负担之间存在显著相关。中介效应分析结果显示，慢性心力衰竭患者健康素养通过社会支持-屈服应对方式的连锁中介效应影响症状负担。效应量为-0.008,95%置信区间不包括0（-0.011,-0.006）。结论：慢性心力衰竭患者健康素养通过社会支持和屈服应对方式间接影响症状负担，建议医务人员应从慢性心力衰竭患者健康素养角度出发，以社会支持和应对方式为突破口，达到提高慢性心力衰竭患者健康素养，减轻症状负担的目的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine

CiteScore

3.80

自引率

11.10%

发文量

3529

审稿时长

14 weeks

期刊介绍： Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers? At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.