目的 探讨非阻塞性微血管性心绞痛患者疾病感知、健康促进生活方式和生存质量间的关系,并分析疾病感知在患者健康促进生活方式与生存质量间的中介作用。方法 纳入2024年1月至2024年12月沧州市人民医院收治的98例非阻塞性微血管性心绞痛患者为研究对象,分别采用简版疾病感知量表（Brief Illness Perception Questionnaire,BIPQ）、健康促进生活方式量表II修订版（Health-Promoting Lifestyle Profile II revise,HPLP-IIR）、西雅图心绞痛量表（Seattle Angina Rating Scale,SAQ）评估患者的疾病感知、健康促进生活方式和生存质量。采用Pearson相关系数分析患者BIPQ、HPLP-IIR、SAQ评分的相关性。通过AMOS23.0结构方程模型分析疾病感知在患者健康促进生活方式与生存质量关联间的作用。结果 患者的BIPQ、HPLP-IIR、SAQ评分分别为（42.37±5.84）、（80.19±8.78）、（295.76±23.68）分。Pearson相关性分析显示,患者BIPQ评分总分及各维度评分与HPLP-IIR、SAQ总分及各维度评分均呈负相关（BIPQ评分总分与HPLP-IIR、SAQ总分的r值分别为-0.447、-0.471,P<0.05）。AMOS23.0结构方程模型分析显示,疾病感知在患者健康促进生活方式与生存质量的关联间起到间接中介效应,中介效应值为0.234,中介效应占总效应的45.70%。结论 健康促进生活方式能直接影响非阻塞性微血管性心绞痛患者生存质量,也能通过调节疾病感知间接提升生存质量。
Abstract
Objective To explore the relationship between illness perception, health promoting lifestyle and quality of life in patients with non-obstructive microvascular angina pectoris, and analyze the mediating role of illness perception on health promoting lifestyle and quality of life in patients. Methods 98 patients with non-obstructive microvascular angina treated in Cangzhou People's Hospital from January 2024 to December 2024 were included as the study objects. The patients’ illness perception, health promoting lifestyle and quality of life were evaluated by the Brief Illness Perception Questionnaire (BIPQ), Health-Promoting Lifestyle Profile II revise (HPLP-IIR), and the Seattle Angina Rating Scale (SAQ). Pearson correlation coefficient was used to analyze the correlation of BIPQ, HPLP-IIR and SAQ scores in patients. The effect of illness perception on health-promoting lifestyle and quality of life in patients was analyzed by AMOS23.0 structural equation model. Results The BIPQ, HPLP-IIR and SAQ scores of patients were (42.37±5.84), (80.19±8.78) and (295.76±23.68), respectively. Pearson correlation analysis showed that the total score of BIPQ and all dimensions were negatively correlated with the total score of HPLP-IIR, SAQ and all dimensions (The r values of the total score of BIPQ and the total scores of HPLP-IIR and SAQ were -0.447 and -0.471 respectively, P<0.05). The analysis of the AMOS23.0 structural equation model shows that disease perception plays an indirect mediating role in the association between patients' health-promoting lifestyles and quality of life. The mediating effect was 0.234, accounting for 45.70% of the total effect. Conclusion Health-promoting lifestyles can directly affect the quality of life of patients with non-obstructive microvascular angina pectoris, and can also indirectly improve the quality of life by regulating disease perception.
关键词
心绞痛 /
非阻塞型 /
疾病感知 /
健康促进生活方式 /
生存质量
Key words
angina pectoris /
non-obstructive type /
illness perception /
health promoting lifestyle /
quality of life
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基金
河北省2025年度医学科学研究课题计划项目“增强型体外反搏对非阻塞性冠脉微血管型心绞痛的中远期效果分析”（20251499）
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