四川精神卫生2025，Vol.38Issue(4)：346-351,6.DOI:10.11886/scjsws20240921001
慢性阻塞性肺疾病患者疾病感知与恐惧疾病进展的关系:社会支持的作用路径
Relationship between illness perception and fear of progression in patients with chronic obstructive pulmonary disease:the mediating role of social support
摘要
Abstract
Background Fear of progression is one of the typical psychological consequences in patients with chronic obstructive pulmonary disease(COPD).The level of fear of progression is affected by the illness perception status,and the link between social support and fear of progression is acknowledged,whereas the mechanism underlying the three remains unclear due to the lack of empirical research evidence and needs to be further studied.Objective To explore the mediating role of social support in the relationship between illness perception and fear of progression in COPD patients,and to provide references for effectively alleviating fear in COPD patients.Methods A total of 435 COPD patients admitted to the Department of Respiratory and Critical Care Medicine,the Affiliated Hospital of Southwest Medical University from March 9 to July 31,2024 were selected as the study objects.The Chinese version of Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Chinese version of Brief Illness Perception Questionnaire(BIPQ)and Social Support Rate Scale(SSRS)were used for the evaluation.Pearson's coefficient was calculated to assess the correlation among above scales.Model 4 of the Process macro 3.4.1 for SPSS 25.0 was used to test the mediating effect of social support on the relationship between illness perception and fear of progression,with Bootstrapping used to evaluate the significance of mediating effect.Results A total of 412 patients(94.71％)completed this study.BIPQ score was positively correlated with FoP-Q-SF score(r=0.238,P<0.01),and negatively correlated with SSRS score in COPD patients(r=-0.260,P<0.01).FoP-Q-SF score was negatively correlated with SSRS score(r=-0.271,P<0.01).Social support mediated the relationship between illness perception and fear of progression,with an indirect effect value of 0.025(95％CI:0.009～0.041),accounting for 13.02％of the total effect.Conclusion Illness perception can affect the fear of progression in COPD patients both directly and indirectly through social support.关键词
慢性阻塞性肺疾病/恐惧疾病进展/疾病感知/社会支持/中介效应Key words
Chronic obstructive pulmonary disease/Fear of progression/Illness perception/Social support/Mediating effect分类
社会科学引用本文复制引用
蔡育宏,肖玲,夏彬雪,郑玲,熊洪..慢性阻塞性肺疾病患者疾病感知与恐惧疾病进展的关系:社会支持的作用路径[J].四川精神卫生,2025,38(4):346-351,6.基金项目
四川省护理科研课题(项目名称:基于ICF框架的老年COPD患者延续护理移动医疗APP的开发与应用,项目编号:H22010)Funded by Nursing Research Project of Sichuan Province(number,H22010) （项目名称:基于ICF框架的老年COPD患者延续护理移动医疗APP的开发与应用,项目编号:H22010）
