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

摘要：

目的　探讨支气管哮喘患者家庭功能、应对方式与希望水平之间的关系，并检验家庭功能在这一关系中的中介效应。方法　选取2022年4月至2024年4月在河南省人民医院接受治疗的120例支气管哮喘患者进行横断面研究，其中男66例、女54例，≤50岁71例、>50岁49例。通过问卷调查的方式收集患者数据，包括一般资料（性别、年龄、受教育程度、病程等）和Herth希望量表、医学应对方式问卷、家庭关怀度问卷评分，采用Pearson法进行相关性分析，并采用AMOS 26.0统计软件构建中介效应的结构方程模型。采用t检验、F检验进行统计分析。结果　支气管哮喘患者的希望水平在性别、年龄、受教育程度、家庭收入、主要居住地方面比较，差异均有统计学意义（均P<0.05）。多重分层回归分析结果发现，屈服应对方式对支气管哮喘患者的希望水平具有负向预测作用（β=-0.526，P<0.05），家庭功能对希望水平具有正向预测作用（β=0.343，P<0.05），而屈服应对方式对希望水平的直接效应减弱（β=-0.307，P<0.05）。Pearson相关分析结果显示，希望水平得分与屈服应对方式得分呈负相关（r=-0.647，P<0.05），与家庭功能得分呈正相关（r=0.625，P<0.05）；家庭功能得分与屈服应对方式得分呈负相关（r=-0.633，P<0.05）。进一步分析显示，屈服应对方式对希望水平的效应随着家庭功能的加入而减弱，说明家庭功能在屈服应对方式和希望水平之间具有部分中介作用。Bootstrap结果显示，屈服应对方式对希望水平的中介效应量为-0.321，占总效应的35.04%。结论　支气管哮喘患者的家庭功能在屈服应对方式与希望水平之间具有部分中介效应。未来制定干预措施时，应注重提高患者的家庭功能，以期提升患者的心理状态和生活质量。

关键词:

支气管哮喘, 希望水平, 应对方式, 家庭功能, 中介效应