关键词:

支气管哮喘, 希望水平, 应对方式, 家庭功能, 中介效应

Abstract:

Objective　To explore the relationship among family function, coping style, and hope level in patients with bronchial asthma, and to test the mediating effect of family function between coping style and hope level. Methods　A cross-sectional study was conducted on 120 patients with bronchial asthma who received treatment in Henan Provincial People's Hospital from April 2022 to April 2024. Among them, there were 66 males and 54 females, 71 patients ≤50 years old and 49 patients >50 years old. The patients' data were collected by means of questionnaire survey, including general information (gender, age, education level, course of disease, etc.) and scores of Herth Hope Index (HHI), Medical Coping Modes Questionnaire (MCMQ), and APGAR Family Care Index. The correlation analysis was conducted by Pearson correlation analysis method, and the structural equation model was constructed by AMOS 26.0 statistical software. t test and F test were used for statistical analysis. Results　There were statistically significant differences in the hope level among patients with bronchial asthma in terms of gender, age, education level, family income, and main place of residence (all P<0.05). Multiple layered regression analysis showed that the submissive coping style had a negative predictive effect on the hope level in patients with bronchial asthma (β=-0.526, P<0.05); family function had a positive predictive effect on the hope level (β=0.343, P<0.05), while the direct effect of submissive coping style on the hope level was weakened (β=-0.307, P<0.05). Pearson correlation analysis showed that the hope level score was negatively correlated with the submissive coping style score (r=-0.647, P<0.05), and positively correlated with the family function score (r=0.625, P<0.05); the family function score was negatively correlated with the submissive coping style score (r=-0.633, P<0.05). Further analysis showed that family function played a partial mediating role between submissive coping style and hope level, and the effect of submissive coping style on hope level was weakened with the addition of family function. The Bootstrap method verified this mediating effect, with the mediating effect of anxiety on pain behavior being -0.321, accounting for 35.04% of the total effect. Conclusions　The family function in patients with bronchial asthma has a partial mediating effect between submissive coping style and hope level. Future interventions should focus on improving the patients' family function in order to enhance their psychological state and quality of life.

Key words:

Bronchial asthma, Hope level, Coping style, Family function, Mediating effect