通讯作者: 徐维霞、, Xuweixia9460@163.com

DOI：10.12201/bmr.202410.00047

Negative Emotion and Ruminating Meditation as a Chain Mediator between the Quality of Discharge Guidance and the Readiness of Discharge after Coronary Artery Bypass Surgery.

• 摘要：目的：前瞻性探讨负性情绪与反刍性沉思在冠状动脉搭桥患者术后的出院指导质量与出院准备度之间的链式中介作用。方法：研究对象选取于2022年2月-2024年2月在我院接受冠状动脉搭桥手术的288例患者，采用一般资料调查表、焦虑自评量表（SAS）、抑郁自评量表（SDS）、中文事件相连反刍性沉思问卷（CERRI）、中文版出院指导质量量表（ODTS）、中文版出院准备度量表（RHDS）进行调查，AMOS 24.0结构方程模型分析链式中介效应。结果：患者SAS量表得分为（57.83±5.32）分，SDS量表得分为（63.31±4.97）分，CERRI问卷得分为（31.03±4.76）分，ODTS量表得分为（116.78±9.22）分，RHDS量表得分为（79.30±7.21）分；单因素分析结果显示，患者出院是否有看护、不同支付方式与不同心功能分级均是患者出院准备度的影响因素（均P＜0.05）；多因素分析结果显示，焦虑与目的性反刍性沉思、出院指导质量、出院准备度负相关，与抑郁、侵入性反刍性沉思正相关；抑郁与目的性反刍性沉思、出院指导质量、出院准备度负相关，与侵入性反刍性沉思正相关；侵入性反刍性沉思与目的性反刍性沉思、出院指导质量、出院准备度负相关；目的性反刍性沉思与出院指导质量、出院准备度正相关；出院指导质量与出院准备度正相关，以上相关性均有统计学意义（均P＜0.05）；链式中介模型拟合良好，结果显示患者出院指导质量会影响出院准备度，同时负性情绪与反刍性沉思路径也会影响患者出院准备度（均P＜0.05）。结论：经冠状动脉搭桥术后的患者出院指导质量可直接或间接通过负性情绪与反刍性沉思影响出院准备度，存在链式中介作用

  关键词： 负性情绪；反刍性沉思；冠状动脉搭桥手术；出院指导质量；出院准备度; ; ; ; 

   

  Abstract: Objective: To prospectively explore the chain mediating effect of negative emotion and ruminant meditation on the quality of discharge guidance and discharge readiness of patients after coronary artery bypass grafting. Methods: The subjects were 288 patients who underwent coronary artery bypass surgery in our hospital from February 2022 to February 2024. They were investigated by general information questionnaire, self-rating anxiety scale (SAS), self-rating depression scale (SDS), Chinese event-related ruminant meditation questionnaire (CERRI), Chinese version of discharge guidance quality scale (ODTS) and Chinese version of discharge readiness scale AMOS 24.0. Results: The scores of SAS, SDS, CERRI, ODTS and RHDS were (57.83±5.32), (63.31±4.97), (31.03±4.76), (116.78±9.22) and (79.30±7.21), respectively. The results of univariate analysis showed that whether patients were cared for, different payment methods and different cardiac function grades were all influencing factors of patients discharge readiness (all P < 0.05). The results of multivariate analysis showed that anxiety was negatively correlated with purposeful ruminant meditation, quality of discharge guidance and readiness, positively correlated with depression and invasive ruminant meditation. Depression is negatively correlated with purposeful ruminant meditation, quality of discharge guidance and readiness, positively correlated with invasive ruminant meditation. Invasive ruminant meditation is negatively correlated with purposeful ruminant meditation, quality of discharge guidance and discharge readiness. Purposeful ruminant meditation is positively related to the quality of discharge guidance and discharge readiness; There is a positive correlation between the quality of discharge guidance and discharge readiness, and the above correlations are statistically significant (all P < 0.05). The chain mediation model fits well, and the results show that the quality of patients discharge guidance will affect their discharge readiness, and negative emotions and ruminant meditation paths will also affect their discharge readiness (both P < 0.05). Conclusion: The quality of discharge guidance for patients after coronary artery bypass grafting can directly or indirectly affect discharge readiness through negative emotions and ruminant meditation, and there is a chain intermediary effect.

  Key words: Negative emotions; Ruminating meditation; Coronary artery bypass surgery; Quality of discharge guidance; Readiness for discharge

  提交时间：2024-10-17

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2024-08-24	bmr.202410.00047V1	下载

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