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目的探讨老年住院患者主观幸福感与社会支持、应对方式的相关性,对应对方式的中介效应进行分析。方法从辽宁省锦州市2所三甲医院的住院患者中方便抽取住院老年人600名,使用一般资料调查表,社会支持评定量表(SSRS)、简易应对方式量表(SCSQ)和纽芬兰纪念大学幸福度量表(MUNSH)进行调查,运用SPSS21.0、AMOS22.0软件和PRODCLIN程序对收集的数据进行统计分析。结果社会支持与积极应对呈正向关联(r=0.428,P<0.001),与消极应对呈负相关联(r=-0.610,P<0.001),与主观幸福感呈正相关联(r=0.532,P<0.001);主观幸福感与积极应对呈正相关联(r=0.473,P<0.001),与消极应对呈负相关联(r=-0.639,P<0.001);社会支持各维度对主观幸福感预测作用均有统计学意义;积极应对方式对主观幸福感的正向预测作用有统计学意义,消极应对方式对主观幸福感的负向预测作用有统计学意义;应对方式在社会支持与主观幸福感间起部分中介效应,中介效应占总效应的48.6%(0.358/0.736)。结论应对方式在老年住院患者主观幸福感与社会支持间起部分中介效应。
Objective To explore the correlation between subjective well-being and social support and coping style of elderly inpatients, and analyze the mediating effect of coping style. Methods Six hundred hospitalized elderly patients were conveniently recruited from inpatients in 2 top three hospitals in Jinzhou City, Liaoning Province. General information questionnaire, social support rating scale (SSRS), simple coping style (SCSQ) and Newfoundland Memorial University Happiness scale (MUNSH) survey, the use of SPSS21.0, AMOS22.0 software and PRODCLIN program for statistical analysis of the data collected. Results There was a positive correlation between social support and positive coping (r = 0.428, P <0.001) and negative coping (r = -0.610, P <0.001), and positively correlated with subjective well-being <0.001). Subjective well-being was positively correlated with positive coping (r = 0.473, P <0.001), negatively correlated with negative coping (r = -0.639, P <0.001) Positive coping style has a significant positive predictive value on subjective well-being, while negative coping style has negative predictive value on subjective well-being; negative coping style has a significant effect on social support and subjective well-being Intermediary effects played a part, the intermediary effect accounted for 48.6% of the total effect (0.358 / 0.736). Conclusions Coping styles play a part of mediating effect between subjective well-being and social support in elderly inpatients.