The mediating effect of coping with adaptive ability on the relationship between uncertainty in illness and psychological stress response among patients in Emergency Observation Room

Li Wu, Fang-Fang Zhao, Mengyun Peng, Hong Guan
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引用次数: 1

Abstract

Objective To investigate the relationship between uncertainty in illness, coping with adaptive ability and psychological stress response among patients in Emergency Observation Room, and to provide reference for reducing the psychological stress level of patients. Methods Questionnaire survey was conducted on 260 patients in Emergency Observation Room in a third-grade hospital in Dalian using the general data questionnaire, the Chinese version of the Mishel’Uncertainty in Illness Scale, the Chinese version of the Coping Adaptation Processing Scale and the Stress Response Questionnaire. Results Coping with adaptive ability played a part in mediating the relationship between uncertainty in illness and psychological stress among patients in Emergency Observation Room. The mediating effect accounted for 32.23% of the total effect. Coping with adaptive ability can reduce the positive reinforcement effect of uncertainty in illness on psychological stress response through emotional and behavioral response pathways. Conclusions Uncertainty in illness can directly or indirectly affect the psychological stress response of by responding to coping with adaptive ability. It can reduce the influence of psychological stress response on patients' psychosomatic function by reducing the uncertainty in illness and improving the ability to cope with adaptation. Key words: Patients in Emergency Observation Room; Uncertainty in illness; Coping with adaptive ability; Psychological stress response; Mediation effect
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应对适应能力对急诊观察室患者疾病不确定性与心理应激反应关系的中介作用
目的探讨急诊观察室患者疾病不确定性、应对适应能力与心理应激反应的关系,为降低患者心理应激水平提供参考。方法采用一般资料问卷、中文版米舍尔疾病不确定性量表、中文版应对适应加工量表和应激反应问卷对大连市某三级医院急诊观察室260例患者进行问卷调查。结果应对适应能力在急诊观察室患者疾病不确定性与心理应激的关系中起中介作用。中介效应占总效应的32.23%。适应能力的应对可以通过情绪和行为反应途径降低疾病不确定性对心理应激反应的正强化效应。结论疾病的不确定性可直接或间接地影响心理应激反应的应对和适应能力。通过降低疾病的不确定性,提高应对适应能力,减少心理应激反应对患者心身功能的影响。关键词:急诊观察室患者;疾病的不确定性;应对适应能力;心理应激反应;中介效应
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