社会支持与应对策略的连锁中介作用：D型人格与慢性阻塞性肺病患者心理困扰

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-01-10 DOI:10.1016/j.gerinurse.2024.12.036

Chunyu Wang, Dandan Liao, Xiangjun Yang, Tingting Fu, Jin Yan, Chenjuan Ma

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引用次数: 0

摘要

本研究探讨了应对策略和社会支持如何调节慢性阻塞性肺病患者的 D 型人格与心理困扰之间的关系。351名患者样本完成了关于人口统计学、心理困扰（凯斯勒心理困扰量表）、社会支持（社会支持自评量表）、应对策略（中文版医学应对模式问卷）和D型人格（D型人格量表）的调查。通过 AMOS 23.0 和 SPSS 进行结构方程建模（SEM），结果显示对抗和接受-辞职应对策略以及 D 型人格与心理困扰呈正相关，而社会支持呈负相关。SEM 估计结果显示，社会支持和应对策略在 D 型人格与心理困扰之间存在连锁中介效应。加强社会支持和应对策略对减轻心理压力至关重要，尤其是对有D型人格的慢性阻塞性肺病患者。

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The chain mediating role of social support and coping strategy: Type D personality and psychological distress among Chinese COPD patients.

This study examines how coping strategies and social support mediate the relationship between type D personality and psychological distress in COPD patients. A sample of 351 patients completed surveys on demographics, psychological distress (Kessler Psychological Distress Scale), social support (Social Support Self-Rating Scale), coping strategies (Chinese version of Medical Coping Modes Questionnaire), and type D personality (Type D Personality Scale). Using structural equation modeling (SEM) via AMOS 23.0 and SPSS, results showed that confrontation and acceptance-resignation coping strategies, as well as type D personality, were positively correlated with psychological distress, while social support was negatively correlated. SEM estimates revealed a chain mediating effect of social support and coping strategies between type D personality and psychological distress. Enhancing social support and coping strategies is crucial for reducing psychological distress, especially in COPD patients with type D personality.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.