实用心脑肺血管病杂志2026，Vol.34Issue(8)：118-122,5.DOI:10.12114/j.issn.1008-5971.2026.00.183
慢性心力衰竭患者及其配偶照护者健康焦虑元认知对睡眠质量的影响:基于共同命运模型
Effect of Health Anxiety Metacognition on Sleep Quality in Patients with Chronic Heart Failure and Their Spouse Caregivers:a Common Fate Model
摘要
Abstract
Objective To explore the effect of health anxiety metacognition on sleep quality in patients with chronic heart failure(CHF)and their spouse caregivers based on the common fate model(CFM).Methods A convenience sampling method was used to select CHF patients and their spouse caregivers who were examined or discharged from the Outpatient Department of Fuwai Central China Cardiovascular Hospital from April to November 2023 as the research objects.The Social-Disease Characteristics Questionnaire,Chinese version of Metacognitions about Health Anxiety Questionnaire(MCQ-HA)and Pittsburgh Sleep Quality Index(PSQI)were used to investigate the social-disease characteristics,health anxiety metacognition level and sleep quality of CHF patients and their spouse caregivers.Pearson correlation analysis was used to analyze the correlation between Chinese version of MCQ-HA score and PSQI between CHF patients and their spouse caregivers.With health anxiety metacognition(Chinese version of MCQ-HA score)as the common fate independent variable and sleep quality(PSQI)as the common fate dependent variable,the structural equation model was constructed by CFM.Results A total of 235 questionnaires were distributed in this study,and 223 valid questionnaires were collected,with an effective recovery rate of 94.9%.The PSQI of CHF patients was higher than that of their spouse caregivers(P<0.01).Pearson correlation analysis results showed that the Chinese version of MCQ-HA score of CHF patients was positively correlated with their PSQI and the Chinese version of MCQ-HA score and PSQI of spouse caregivers,the PSQI of CHF patients was positively correlated with the Chinese version of MCQ-HA score and PSQI of spouse caregivers,the Chinese version of MCQ-HA score was positively correlated with the PSQI score of spouse caregivers(P<0.01).CFM analysis results showed that there was a positive correlation between health anxiety metacognition(Chinese version of MCQ-HA score)and sleep quality(PSQI)in CHF patients and their spouse caregivers(β=0.672,P<0.001).Conclusion The health anxiety metacognition of CHF patients and their spouse caregivers have a negative impact on their sleep quality through binary interaction.关键词
心力衰竭/配偶/照护者/健康焦虑元认知/睡眠质量/共同命运模型Key words
Heart failure/Spouses/Caregivers/Health anxiety metacognition/Sleep quality/Common fate model分类
医药卫生引用本文复制引用
程霖,王宇,郭鑫鑫,王一博,郭楠,杨巧芳..慢性心力衰竭患者及其配偶照护者健康焦虑元认知对睡眠质量的影响:基于共同命运模型[J].实用心脑肺血管病杂志,2026,34(8):118-122,5.基金项目
2023年度河南省医学科技攻关计划联合共建项目(LHGJ20230153) （LHGJ20230153）
