生活意义对慢性心力衰竭患者生活质量的中介作用。

IF 2.1 3区医学 Q2 NURSING

Asian Nursing Research Pub Date : 2023-12-01 DOI:10.1016/j.anr.2023.11.003

Min-Hui Liu , Chao-Hung Wang , Ai-Fu Chiou

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引用次数: 0

摘要

目的:心力衰竭(HF)是一种高复发性疾病，猝死率高，对疾病相关生活质量(QOL)有重大影响。社会支持、症状困扰、护理需求和生活意义均对生活质量有显著影响。我们假设生活意义在社会支持、症状困扰和护理需求与慢性心衰患者生活质量的关系中起中介作用。方法:采用横断面分析方法，对186例HF门诊患者进行社会支持、症状困扰、护理需求、生活意义、生活质量等结构化问卷调查。采用结构方程模型(SEM)分析生活意义在社会支持、症状困扰和护理需求对生活质量的影响中的中介作用。结果:最终模型拟合良好。生活意义与总体生活质量相关(β = 0.18, p = 0.032)。虽然症状困扰(β = -0.26, p = 0.005)和护理需求(β = -0.36, p = 0.021)与总体生活质量呈负相关，但生活意义在症状困扰和总体生活质量之间(β = -0.02, p = 0.023)和护理需求与总体生活质量之间(β = -0.07, p = 0.030)起部分中介作用。而生活意义在社会支持与整体生活质量之间起完全中介作用(β = 0.08, p = 0.047)。该模型显示，生活意义、症状困扰和护理需求解释了全球生活质量的50%。结论:在慢性心力衰竭患者中，生活意义在社会支持、症状窘迫和护理需求与生活质量的关系中起中介作用。实施干预以丰富生活的意义可以帮助患者处理由症状引起的问题并减轻他们未满足的需求。

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The Mediator Role of Meaning in Life in the Life Quality of Patients With Chronic Heart Failure

Purpose

Heart failure (HF) is a highly recurrent disease with a high sudden death rate and a substantial influence on disease-related quality of life (QOL). Social support, symptom distress, care needs, and meaning in life all have significant impacts on QOL. We hypothesized that meaning in life plays a mediating role in the relationship of social support, symptom distress, and care needs with QOL among patients with chronic HF.

Methods

Based on cross-sectional analysis, we recruited 186 HF outpatients who completed structured questionnaires for social support, symptom distress, care needs, meaning in life, and QOL. Structural equation modeling was used to analyze the mediating role of meaning in life in the relationship of social support, symptom distress, and care needs with QOL.

Results

The final model showed good model fit. Meaning in life was associated with global QOL (β = 0.18, p = .032). Although symptom distress (β = −0.26, p = .005) and care needs (β = −0.36, p = .021) were negatively associated with global QOL, meaning in life played a partial mediating role between symptom distress and global QOL (β = −0.02, p = .023) and between care needs and global QOL (β = −0.07, p = .030). However, meaning in life played a complete mediating role between social support and global QOL (β = 0.08, p = .047). The model showed that meaning in life, symptom distress, and care needs explained 50% of global QOL.

Conclusions

In patients with chronic HF, meaning in life played a mediating role in the relationship of social support, symptom distress, and care needs with QOL. Implementing an intervention to enrich meaning in life may help patients manage the issues caused by symptoms and alleviate their unmet needs.

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来源期刊

Asian Nursing Research NURSING-

CiteScore

4.20

自引率

4.50%

发文量

审稿时长

45 days

期刊介绍： Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.