|
|
|
| The Effect of illness intrusiveness on quality of life of the patients with chronic heart failure: Multiple mediating effect of physical activity and psychological distress |
| LIU Yating1, HE Pingping2, LIU Mengqi1, TIAN Dandan1, ZHANG Yingqun1 |
1. School of Nursing, University of South China, Hengyang 421000, China;
2. School of Medicine, Hunan Normal University, Changsha 410013, China |
|
|
|
|
Abstract Objective A multiple mediation model based on the stress action process model was developed to investigate the mediating effects of physical activity and psychological distress on illness intrusiveness and quality of life in patients with chronic heart failure (CHF), as well as to provide a theoretical basis for improving CHF patients' prognoses. Methods A convenience sampling method was used to select 229 CHF patients from two tertiary Grade-A hospitals in Hengyang, Hunan Province, from February to July 2023. A General Information Questionnaire, the Chinese Version of the Illness Intrusiveness Ratings Scale, the International Physical Activity Questionnaire (short volume), the Distress Thermometer, and the Minnesota Living with Heart Failure Questionnaire were used to investigate them. Multiple mediation effect tests were performed using the bias-corrected percentile Bootstrap method (Process plug-in). Results In CHF patients, the illness intrusiveness scores were negatively correlated with physical activity scores and positively correlated with psychological distress scores and quality of life scores; physical activity partially mediated the effect between illness intrusiveness and quality of life, the mediating effect was 0.087, accounting for 14.500% of the total effect value; psychological distress partially mediated the effect between illness intrusiveness and quality of life, the mediating effect was 0.217, accounting for 31.167% of the total effect value; physical activity and psychological distress exerted a multiple mediation effect between illness intrusiveness and quality of life, the mediating effect was 0.067, accounting for 11.166% of the total effect value. Conclusion Illness intrusiveness in CHF patients can impact quality of life through the mediation of physical activity and psychological distress. Healthcare professionals should actively pay attention to illness intrusiveness in CHF patients and, at the same time, take physical activity and psychological distress as intervention targets to promote physical and mental recovery, which in turn will enhance patients' quality of life and improve disease prognosis.
|
|
Received: 19 December 2023
|
|
|
|
|
|
| Cite this article: |
|
LIU Yating,HE Pingping,LIU Mengqi等. The Effect of illness intrusiveness on quality of life of the patients with chronic heart failure: Multiple mediating effect of physical activity and psychological distress[J]. HuNan ShiFan DaXue XueBao(YiXueBan), 2024, 21(2): 159-164.
|
|
|
|
| URL: |
| http://yxb.hunnu.edu.cn/EN/ OR http://yxb.hunnu.edu.cn/EN/Y2024/V21/I2/159 |
[1] 杨杰孚, 张健, 韩亚玲, 等. 中国心力衰竭诊断和治疗指南2018[J]. 中华心血管病杂志, 2018, 46(10) : 760-789.
[2] 何晓雯,曾桂芳,冯洁,等. 湖南部分地区慢性心力衰竭再入院率及影响因素调查[J]. 湖南师范大学学报(医学版),2021,18(01):50-54.
[3] ZHANG Y, ZHANG J, BUTLER J, et al.Contemporary Epidemiology, Management, and Outcomes of Patients Hospitalized for Heart Failure in China: Results From the China Heart Failure (China-HF) Registry[J]. J Card Fail, 2017, 23(12) : 868-875.
[4] DEVINS G M, BINIK Y M, HUTCHINSON T A, et al.The emotional impact of end-stage renal disease: importance of patients' perception of intrusiveness and control[J]. Int J Psychiatry Med, 1983, 13(4) : 327-343.
[5] KIM N H, KIM S H, HYUN S Y, et al.Mediating Role of Anxiety and Depression in the Relationship between Posttraumatic Stress Symptoms and Illness Intrusiveness[J]. J Korean Med Sci, 2018, 33(45) : e284.
[6] ARROLL M A, ATTREE E A, CHA Y H, et al.The relationship between symptom severity, stigma, illness intrusiveness and depression in Mal de Debarquement Syndrome[J]. J Health Psychol, 2016, 21(7) : 1339-1350.
[7] 郝君慧, 秦怡, 焦姝, 等. 身体活动水平与精神类疾病的孟德尔随机化研究[J]. 现代预防医学, 2023, 50(22) : 4033-4038.
[8] SHAWARYN M A, SCHIAFFINO K M, LAROCCA N G, et al.Determinants of health-related quality of life in multiple sderosis: the role of illness intrusiveness[J]. Mult Scler, 2002, 8(4) : 310-318.
[9] 刘义婷, 李亚敏, 陈亚敏, 等. 青年HIV/AIDS患者心理痛苦多维现状及其影响因素分析[J]. 中国艾滋病性病, 2023, 29(10) : 1114-1119.
[10] 姜振英, 芦海英, 刘启贵, 等. 慢性心力衰竭患者心理痛苦的研究进展[J]. 中国护理管理, 2019, 19(2) : 296-300.
[11] BAKULA D M, SHARKEY C M, PEREZ M N, et al.The Role of Stigma in the Relationship Between Illness Intrusiveness and Adjustment in Adolescents and Young Adults: A Path Model[J]. J Pediatr Psychol, 2019, 44(5) : 611-619.
[12] HUNDT N E, BENSADON B A, STANLEY M A, et al.Coping mediates the relationship between disease severity and illness intrusiveness among chronically ill patients[J]. J Health Psychol, 2015, 20(9) : 1186-1195.
[13] AWICK E A, EHLERS D K, AGUINAGA S, et al.Effects of a randomized exercise trial on physical activity, psychological distress and quality of life in older adults[J]. Gen Hosp Psychiatry, 2017, 49: 44-50.
[14] 姜乾金. 医学心理学[M]. 北京: 人民卫生出版社, 2012.
[15] 李峥, 刘宇. 护理学研究方法[M]. 北京: 人民卫生出版社, 2012.
[16] LI W, CHEN K, HALFYARD B, et al.Validation study of the Chinese version of the Illness Intrusiveness Ratings Scale[J]. J Psychosom Res, 2011, 70(1) : 67-72.
[17] 屈宁宁, 李可基. 国际体力活动问卷中文版的信度和效度研究[J]. 中华流行病学杂志, 2004 (03) : 87-90.
[18] 宋琴芬, 尹光啸, 刘春娥, 等. 直肠癌永久性造口患者体力活动现状及影响因素研究[J]. 护理学杂志, 2021, 36(01) : 14-18.
[19] MITCHELL A J, MORGAN J P, PETERSEN D, et al.Validation of simple visual-analogue thermometer screen for mood complications of cardiovascular disease: the Emotion Thermometers[J]. J Affect Disord, 2012, 136(3) : 1257-1263.
[20] 唐丽丽, 张叶宁, 张海伟, 等. 心理痛苦温度计的信度和效度研究及在中国癌症患者中的应用: 第六届中国癌症康复与姑息医学大会[C]. 广州, 2010.
[21] 潘玉琴, 高燕, 刘永芳, 等. 心理痛苦温度计的层级式心理疗法在乳腺癌放化疗患者的应用及对心理痛苦、知觉压力及应对方式的影响[J]. 中国健康心理学杂志, 2023, 31(07) : 1020-1024.
[22] 奚悦文, 范维琥. 明尼苏达心力衰竭生活质量调查表适用性的评价[J]. 上海医学, 2004 (04) : 222-225.
[23] AROUJ K, MIR R Z, ZAHID S.Quality of life among dialysis patients: Predictive analysis of illness intrusiveness and spiritual beliefs[J]. J Pak Med Assoc, 2022, 72(7) : 1294-1297.
[24] EDELSTEIN K, COATE L, MASSEY C, et al.Illness intrusiveness and subjective well-being in patients with glioblastoma[J]. J Neurooncol, 2016, 126(1) : 127-135.
[25] DEVINS G M.Illness intrusiveness and the psychosocial impact of lifestyle disruptions in chronic life-threatening disease[J]. Adv Ren Replace Ther, 1994, 1(3) : 251-263.
[26] GROMISCH E S, KERNS R D, BEAUVAIS J.Pain-related illness intrusiveness is associated with lower activity engagement among persons with multiple sclerosis[J]. Mult Scler Relat Disord, 2020, 38: 101882.
[27] LEE H, BOO S, YU J, et al.Physical Functioning, Physical Activity, Exercise Self-Efficacy, and Quality of Life Among Individuals With Chronic Heart Failure in Korea: A Cross-Sectional Descriptive Study[J]. J Nurs Res, 2017, 25(2) : 131-139.
[28] TUNG H H, JAN M S, LIN C Y, et al.Mediating role of daily physical activity on quality of life in patients with heart failure[J]. J Cardiovasc Nurs, 2012, 27(1) : 16-23.
[29] 晋亚丽,陈思仙,彭德清,等. 基于目标理论导向的功能锻炼对慢性心力衰竭患者功能恢复及预后的影响[J]. 湖南师范大学学报(医学版),2022,19(01):256-259.
[30] PAUKERT A L, LEMAIRE A, CULLY J A.Predictors of depressive symptoms in older veterans with heart failure[J]. Aging Ment Health, 2009, 13(4): 601-610.
[31] TAN H C, KOH K, WU V X, et al.Health-related quality of life, psychological distress, and symptom burden in an Asian population of outpatients with atrial fibrillation[J]. Heart Lung, 2018, 47(4) : 322-328.
[32] KANTIDAKIS J D, MOULDING R, KNOWLES S R.Psychological mediators of psychological distress and quality of life in inflammatory bowel disease[J]. J Psychosom Res, 2021, 149: 110596.
[33] 于媛, 王黎, 张娜, 等. 肺癌患者病耻感与心理痛苦和生活质量的关系研究[J]. 中国肿瘤临床与康复, 2020, 27(08) : 897-900.
[34] 孙晓丽, 崔香淑, 李伟, 等. 自我超越和心理痛苦对老年2型糖尿病患者生活质量的影响研究[J]. 中华护理教育, 2022, 19(08): 743-746.
[35] GYASI R M.Social support, physical activity and psychological distress among community-dwelling older Ghanaians[J]. Arch Gerontol Geriatr, 2019, 81: 142-148.
[36] 何丽芳, 李倩倩, 甘香. 病耻感对中青年维持性血液透析患者心理痛苦的影响[J]. 中华护理杂志, 2022, 57(21) : 2585-2591.
[37] 石习习, 王静, 杨雪琴. 癌症患者心理痛苦预测模型的构建及验证[J]. 中华护理杂志, 2022, 57(11) : 1330-1336. |
|
|
|
2024, Vol. 21 
