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护理学报 ›› 2023, Vol. 30 ›› Issue (2): 60-66.doi: 10.16460/j.issn1008-9969.2023.02.060

• 调查研究 • 上一篇    下一篇

心理资本在轻度认知障碍患者家庭功能与社会参与的中介效应

焦雨晨1, 嵇艳1, 孟瑶1, 许丽娟2   

  1. 1.南京医科大学 护理学院,江苏 南京 211166;
    2.丽水学院 医学院,浙江 丽水 323000
  • 收稿日期:2022-06-24 出版日期:2023-01-25 发布日期:2023-02-22
  • 通讯作者: 嵇艳（1982-）,女,江苏盐城人,博士,副教授。E-mail：yanji@njmu.edu.cn
  • 作者简介:焦雨晨（1998-）,女,江苏徐州人,硕士。
  • 基金资助:
    国家自然科学基金（72204122）; 国家自然科学基金（71904073）; 江苏省南京医科大学内涵建设专项护理学优势学科资助[苏政办发（2018）87号]

Mediating role of psychological capital between family functioning and social participation in patients with mild cognitive impairment

JIAO Yu-chen1, JI Yan1, MENG Yao1, XU Li-juan2   

  1. 1. School of Nursing, Nanjing Medical University, Nanjing 211166, China;
    2. School of Medicine, Lishui University,Lishui 323000, China
  • Received:2022-06-24 Online:2023-01-25 Published:2023-02-22

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摘要： 目的 探究心理资本在轻度认知障碍患者家庭功能与社会参与间的中介效应。方法 采用便利抽样法,采用一般资料问卷、家庭功能评定量表、积极心理资本问卷、轻度认知障碍患者社会参与问卷,对2021年5—12月在南京医科大学附属脑科医院记忆门诊就诊的199例轻度认知障碍患者进行问卷调查,构建并检验中介模型。结果 本组轻度认知障碍患者的家庭功能所有条目均分为（2.39±0.36）分,心理资本所有条目均分为（4.40±1.08）分,社会参与所有条目均分为（2.45±0.59）分。轻度认知障碍患者的社会参与与家庭功能所有条目均分呈负相关（r=-0.624,P<0.01）,与心理资本呈正相关（r=0.587,P<0.01）,家庭功能与心理资本所有条目均分呈负相关（r=-0.672,P<0.01）。心理资本在轻度认知障碍患者家庭功能与社会参与之间发挥部分中介效应,效应占比32.76%。结论 本组轻度认知障碍患者的家庭功能、社会参与处于中等偏低水平,心理资本处于中等水平,心理资本在轻度认知障碍患者家庭功能和社会参与间起部分中介作用。建议医务工作者关注患者的家庭状况与家庭功能、提升心理资本水平,以促进患者社会参与。

关键词: 轻度认知障碍, 家庭功能, 心理资本, 社会参与, 中介效应

Abstract: Objective To explore the mediating role of psychological capital between family functioning and social participation of patients with mild cognitive impairment (MCI). Methods With convenience sampling, 199 MCI patients who visited the memory clinic of Brain Hospital Affiliated to Nanjing Medical University from May to December 2021 were selected and surveyed by using general information questionnaire, Family Functioning Rating Scale, Positive Psychological Capital Questionnaire and Social Participation Questionnaire for patients with mild cognitive impairment. The mediation model was constructed and verified. Results The average score of family functioning, psychological capital and social participation was 2.39±0.36, 4.40±1.08 and 2.45±0.59 respectively. Social participation in patients with MCI was negatively correlated with all the items of family functioning (r=-0.624, P<0.01) and positively with psychological capital (r=0.587, P<0.01). Family functioning was negatively correlated with all the items of psychological capital (r=-0.672, P<0.01). Psychological capital played a partial mediating role between family function and social participation in patients with MCI, accounting for 32.76% of the total effect. Conclusion In this study, family functioning and social participation of patients with MCI are at a moderately low level, and psychological capital is at a medium level. Psychological capital plays a partial mediating role between family functioning and social participation. It is suggested that medical workers pay attention to the family status and family functioning of patients with MCI and improve their psychological capital, so as to promote social participation of the patients.

Key words: mild cognitive impairment, family functioning, psychological capital, social participation, mediating role

中图分类号: 

  • R473.74
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