| 蔡育宏,肖玲,夏彬雪,郑玲,熊洪.慢性阻塞性肺疾病患者疾病感知与恐惧疾病进展的关系：社会支持的作用路径[J].四川精神卫生杂志,2025,(4):346-351.Cai Yuhong,Xiao Ling,Xia Binxue,Zheng Ling,Xiong Hong,Relationship between illness perception and fear of progression in patients with chronic obstructive pulmonary disease： the mediating role of social support[J].SICHUAN MENTAL HEALTH,2025,(4):346-351 |
| 慢性阻塞性肺疾病患者疾病感知与恐惧疾病进展的关系：社会支持的作用路径 |
| Relationship between illness perception and fear of progression in patients with chronic obstructive pulmonary disease： the mediating role of social support |
| 投稿时间：2024-09-21 |
| DOI：10.11886/scjsws20240921001 |
| 中文关键词: 慢性阻塞性肺疾病 恐惧疾病进展 疾病感知 社会支持 中介效应 |
| 英文关键词:Chronic obstructive pulmonary disease Fear of progression Illness perception Social support Mediating effect |
| 基金项目:四川省护理科研课题（项目名称：基于ICF框架的老年COPD患者延续护理移动医疗APP的开发与应用，项目编号：H22010） |
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| 中文摘要: |
| 背景 恐惧疾病进展是慢性阻塞性肺疾病（COPD）患者典型心理之一，恐惧疾病进展水平受疾病感知程度影响，社会支持也会影响恐惧疾病进展水平，但三者之间的作用路径尚不明确，缺乏可信性证据，有待进一步研究。目的 探讨社会支持在COPD患者疾病感知与恐惧疾病进展之间的作用路径，为缓解COPD患者的恐惧情绪提供参考。方法 选取2024年3月9日—7月31日于西南医科大学附属医院呼吸与危重症医学科住院的435例COPD患者为研究对象。采用中文版恐惧疾病进展简化量表（FoP-Q-SF）、中文版疾病感知问卷简化版（BIPQ）、社会支持量表（SSRS）进行评定。采用Pearson相关分析检验各量表评分之间的相关性。使用SPSS 25.0宏程序Process 3.4.1的模型4分析社会支持在疾病感知与恐惧疾病进展之间的作用路径，采用Bootstrap法检验中介效应。结果 共412例（94.71%）患者完成本研究。COPD患者BIPQ评分与FoP-Q-SF评分呈正相关（r=0.238，P<0.01），与SSRS评分呈负相关（r=-0.260，P<0.01），FoP-Q-SF评分与SSRS评分呈负相关（r=-0.271，P<0.01）。社会支持可能是疾病感知与恐惧疾病进展之间的作用路径，间接效应值为0.025（95% CI：0.009~0.041），占总效应的13.02%。结论 疾病感知能直接影响COPD患者的恐惧疾病进展，也可以通过社会支持间接影响COPD患者的恐惧疾病进展。 |
| 英文摘要: |
| Background Fear of progression is one of the typical psychological consequences in patients with chronic obstructive pulmonary disease （COPD）. The level of fear of progression is affected by the illness perception status， and the link between social support and fear of progression is acknowledged， whereas the mechanism underlying the three remains unclear due to the lack of empirical research evidence and needs to be further studied.Objective To explore the mediating role of social support in the relationship between illness perception and fear of progression in COPD patients， and to provide references for effectively alleviating fear in COPD patients.Methods A total of 435 COPD patients admitted to the Department of Respiratory and Critical Care Medicine， the Affiliated Hospital of Southwest Medical University from March 9 to July 31， 2024 were selected as the study objects. The Chinese version of Fear of Progression Questionnaire-Short Form （FoP-Q-SF）， Chinese version of Brief Illness Perception Questionnaire （BIPQ） and Social Support Rate Scale （SSRS） were used for the evaluation. Pearson's coefficient was calculated to assess the correlation among above scales. Model 4 of the Process macro 3.4.1 for SPSS 25.0 was used to test the mediating effect of social support on the relationship between illness perception and fear of progression， with Bootstrapping used to evaluate the significance of mediating effect.Results A total of 412 patients （94.71%） completed this study.BIPQ score was positively correlated with FoP-Q-SF score （r=0.238， P<0.01）， and negatively correlated with SSRS score in COPD patients （r=-0.260， P<0.01）. FoP-Q-SF score was negatively correlated with SSRS score （r=-0.271， P<0.01）. Social support mediated the relationship between illness perception and fear of progression， with an indirect effect value of 0.025 （95% CI： 0.009~0.041）， accounting for 13.02% of the total effect.Conclusion Illness perception can affect the fear of progression in COPD patients both directly and indirectly through social support. ［Funded by Nursing Research Project of Sichuan Province （number， H22010）］ |
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