Mediating role of optimism between mindfulness level and subjective well-being in patients after lung transplantation
10.3760/cma.j.cn115682-20240312-01277
- VernacularTitle:乐观在肺移植术后患者正念水平与主观幸福感间的中介作用
- Author:
Liqin SONG
1
;
Ying ZHOU
;
Danxia HUANG
;
Jing CHENG
;
Chunqin LIU
;
Qing LUO
;
Yimeng LIU
;
Xinyang HU
;
Wenying TAN
Author Information
1. 广州医科大学护理学院，广州 510180
- Publication Type:Journal Article
- Keywords:
Lung transplantation;
Subjective well-being;
Mindfulness;
Optimism;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(5):603-609
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between mindfulness, optimism, and subjective well-being in post-lung transplantation patients, so as to provide a basis for nursing staff to improve patients' subjective well-being.Methods:This study was a cross-sectional survey. Convenience sampling was used to select 205 post-lung transplantation patients admitted to the First Affiliated Hospital of Guangzhou Medical University from October 2022 to November 2023 for the study. General Information Questionnaire, World Health Organization-Five Well-Being Scale, Mindful Attention Awareness Scale (MAAS) and Life Orientation Test-R (LOT-R) were used to investigate the study participants. Pearson correlation was used to analyze the correlation between subjective well-being and mindfulness and optimism in patients after lung transplantation. AMOS 24.0 software was used to construct a mediating model to analyze the path relationship between mindfulness, optimism and subjective well-being.Results:A total of 205 questionnaires were distributed and 202 valid questionnaires were recovered, with an effective recovery rate of 98.54% (202/205). In 202 patients after lung transplantation, the WHO-5 Well-Being Scale total score, MAAS total score, and LOT-R score were (16.31±4.73), (56.75±9.44), and (18.49±3.85), respectively. Lung transplantation patients' subjective well-being was positively correlated with mindfulness and optimism ( r=0.570, 0.600, both P<0.01). Optimism partially mediated the relationship between mindfulness and subjective well-being, with an effect value of 0.290 and an effect proportion of 52.35% (0.290/0.554) . Conclusions:Mindfulness and optimism are both positively correlated with subjective well-being in post-lung transplantation patients, and mindfulness could also influence subjective well-being through the mediating effect of optimism. Healthcare professionals should fully explore and cultivate positive psychological resources, such as mindfulness, in lung transplant patients, by increasing optimism as the target of intervention, which in turn improves patients' subjective well-being.
