Chain mediation effect analysis of psychological consistency and disease acceptance on the fear of disease progression and return-to-work readiness in post-PCI patients
10.3760/cma.j.cn115682-20240913-05087
- VernacularTitle:心理一致感与疾病接受度在PCI术后患者疾病进展恐惧与重返工作准备度间的链式中介效应分析
- Author:
Qingjing FENG
1
;
Yuchun LIU
1
;
Bin LI
1
;
Guangzhen ZHAO
1
;
Tingting ZHOU
1
;
Xiaochun ZHU
1
Author Information
1. 济宁医学院附属医院心内科，济宁 272000
- Publication Type:Journal Article
- Keywords:
Percutaneous coronary intervention;
Psychological consistency;
Disease acceptance;
Fear of disease progression;
Return-to-work readiness;
Chain mediation
- From:
Chinese Journal of Modern Nursing
2025;31(13):1768-1773
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of the fear of disease progression on the return-to-work readiness of patients after percutaneous coronary intervention (PCI) , and the chain mediating effect of psychological consistency and disease acceptance between the two factors.Methods:A convenience sampling method was used to select 198 PCI patients at the Affiliated Hospital of Jining Medical University from February 2023 to May 2024. The General Information Survey, Return-To-Work Readiness Scale, Fear of Progression Questionnaire-Short Form, Acceptance Illness Scale, and Sense of Coherence-13 were used to investigate the patients.Results:A total of 198 questionnaires were distributed, with 178 valid questionnaires returned, yielding an effective response rate of 89.90%. Among the patients' return-to-work readiness, 42 patients were in the pre-intention stage, 60 patients in the intention stage, 36 patients in the action preparation-self-assessment stage, and 40 patients in the action preparation-behavior stage. The fear of disease progression significantly influenced the patients' return-to-work readiness. Psychological consistency and disease acceptance played significant chain mediation roles between the fear of disease progression and return-to-work readiness, with a total mediation effect value of -0.072, accounting for 41.38% of the total effect.Conclusions:Return-to-work readiness in PCI patients needs improvement. Psychological consistency and disease acceptance play a chain mediation role between the fear of disease progression and return-to-work readiness. Healthcare providers should develop personalized care strategies based on patients' specific conditions, improve their psychological state, and enhance their readiness to return to work.
