Study of model based on Lazarus stress theory for living quality in patients with pulmonary embolism

doi:10.3969/j.issn.1006-9143.2019.02.003

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Study of model based on Lazarus stress theory for living quality in patients with pulmonary embolism

SHEN Yuehao, LIU Yuan, YUAN Zhifang, LIU Suyan

(Tianjin Medical University General Hospital, Tianjin 300052)

Received:2018-11-06 Revised:2019-01-29 Online:2019-04-28 Published:2019-05-17

基于拉扎勒斯应激理论的肺栓塞患者生活质量模型构建

沈悦好刘媛原志芳刘素彦

（天津医科大学总医院，天津 300052）

基金资助:

*国家重点研发计划合作项目（2016YFC1304500）

Abstract

Abstract: Objective: To explore the method of using the structural equation model based on the stress theory of Lazarus, and build the model of living quality for patients with pulmonary embolism. Methods: A total of 217 patients with pulmonary embolism were investigated according to lazarus stress theory and the research purpose of this study. Results: In terms of the mental health, subjective well-being had the greatest impact on the physical health of patients with pulmonary embolism, while the negative medical coping style had the least impact on the physical health of patients. In terms of mental health, depression, negative coping styles, positive coping styles and family support on mental health there were both direct effect and indirect effect. However, MUIS’s total score had only indirect effect on mental health. Conclusion: Improving the patient's awareness of the disease and negative emotion, enhancing their subjective well-being and social support may improve their quality of life.

Key words: Pulmonary embolism, Medical coping modes, Quality of life, Structural equation model

摘要：

目的：以拉扎勒斯应激理论为指导，构建肺栓塞患者生活质量的结构方程模型，明确各因素间的作用机制。方法：对217例肺栓塞患者进行问卷调查，并采用相关分析和结构方程模型的方法根据拉扎勒斯应激理论构建肺栓塞患者生活质量的结构方程模型。结果：就生理健康而言，主观幸福感对肺栓塞患者生理健康影响最大，而消极的医学应对方式对肺栓塞患者生理健康的影响最小；就心理健康而言，抑郁情绪、消极应对方式、积极应对方式及家庭外支持均对心理健康既有直接的作用效应又有间接的作用效应；而MUIS总分对心理健康仅有间接的作用效应。结论：降低肺栓塞患者的疾病不确定感、改善其消极情绪，加强患者的主观幸福感和社会支持，有助于提高其生活质量。

关键词: 肺栓塞, 应对方式, 生活质量, 结构方程模型

SHEN Yuehao, LIU Yuan, YUAN Zhifang, LIU Suyan. Study of model based on Lazarus stress theory for living quality in patients with pulmonary embolism[J]. , DOI: 10.3969/j.issn.1006-9143.2019.02.003.

沈悦好刘媛原志芳刘素彦. 基于拉扎勒斯应激理论的肺栓塞患者生活质量模型构建[J]. 天津护理, DOI: 10.3969/j.issn.1006-9143.2019.02.003.

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Study of model based on Lazarus stress theory for living quality in patients with pulmonary embolism

基于拉扎勒斯应激理论的肺栓塞患者生活质量模型构建

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