自我效能在老年脑梗死患者焦虑、抑郁与生活质量的中介效应分析

Analysis of mediating effects of self-efficacy on anxiety,depression and quality of life in elderly patients with cerebral infarc-tion

中文关键词: 老年  脑梗死  自我效能  焦虑抑郁  生活质量  中介效应

英文关键词: elderly  cerebral infarction  self-efficacy  anxiety and depression  quality of life  mediating effect

中文摘要:

      目的 探讨自我效能在老年脑梗死患者焦虑抑郁与生活质量间的中介效应.方法 选取2022年1月—2025年1月合肥京东方医院收治的128例老年脑梗死患者作为研究对象,通过一般自我效能量表、医院用焦虑抑郁量表及脑卒中专用生活质量量表对纳入对象进行调查,采用Pearson分析法探讨自我效能、焦虑抑郁与生活质量之间的相互关系,并构建结构方程模型(SEM)以检验其中介效应.结果 128例老年脑梗死患者自我效能总分为(17.75±3.15)分,焦虑抑郁总分为(26.38±3.31)分,生活质量总分为(98.52±15.16)分;Pearson相关性分析结果显示,自我效能评分与焦虑抑郁评分呈负相关(r=-0.346,P＜0.001),自我效能评分与生活质量评分呈正相关(r=0.503,P＜0.001),焦虑抑郁评分与生活质量评分呈负相关(r=-0.415,P＜0.001);自我效能在焦虑抑郁与生活质量之间具有部分中介效应,中介效应值为39.41％.结论 老年脑梗死患者焦虑抑郁与生活质量和自我效能可能均呈负相关,自我效能与生活质量可能呈正相关;自我效能可作为老年脑梗死患者心理健康与生活质量间的中介因素,通过增强患者的自我效能感,可有效缓解其焦虑抑郁情绪,提升其生活质量,有助于患者身体、心理和社会功能的恢复.

英文摘要:

      Objective To explore the mediating effects of self-efficacy on anxiety,depression and quality of life in eld-erly patients with cerebral infarction.Methods 128 elderly patients with cerebral infarction admitted to Hefei BOE Hospital from January 2022 to January 2025 were selected as the study subjects.They were investigated with the General Self-Efficacy Scale,the Hospital Anxiety and Depression Scale,and the Stroke-Specific Quality of Life Scale.The Pearson's analysis method was used to explore the interrelationship among self-efficacy,anxiety and depression,and quality of life,and a structural equa-tion model(SEM)was constructed to test its mediating effect.Results The total score of self-efficacy of 128 elderly patients with cerebral infarction was(17.75±3.15)points,the total score of anxiety and depression was(26.38±3.31)points,and the total score of quality of life was(98.52±15.16)points.The results of Pearson's correlation analysis showed that the self-efficacy score was negatively correlated with the anxiety and depression score(r=-0.346,P＜0.001),positively correlated with the quality of life score(r=0.503,P＜0.001),and the anxiety and depression score was negatively correlated with the quality of life score(r=-0.415,P＜0.001).Self-efficacy had a partial mediating effect between anxiety and depression and quality of life,with a mediating effect value of 39.41％.Conclusion Anxiety and depression in elderly patients with cerebral infarction are negatively correlated with both quality of life and self-efficacy,and self-efficacy is positively correlated with qual-ity of life.Self-efficacy can be served as a mediating factor between mental health and quality of life in elderly patients with cerebral infarction.By enhancing patients'self-efficacy,their anxiety and depression can be effectively alleviated,their quality of life can be improved,and it is conducive to the recovery of their physical,psychological and social functions.