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感知到的社会支持和医疗应对模式在 COVID-19 患者的心理弹性和生活意义之间的中介作用
Authors Zhang L, Jiang M, Wang L, Zheng J, Wang W
Received 29 November 2022
Accepted for publication 25 February 2023
Published 7 March 2023 Volume 2023:17 Pages 571—582
DOI https://doi.org/10.2147/PPA.S391014
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Johnny Chen
Aim: Assess the level of meaning in life of patients with COVID-19, explore the relationship among COVID-19 patients in perceived social support, medical coping modes, psychological resilience and life meaning, and clarify the mediating effect.
Methods: Through the convenience sampling method, 144 COVID-19 patients were selected in the year 2021, and surveyed by using general information questionnaire, perceived social support scale (PSSS), medical coping modes questionnaire (MCMQ), meaning in life questionnaire (MLQ) and Connor-Davidson resilience scale (CD-RISC). After the collected data were preprocessed by SPSS, the t-tests, multiple comparison and Pearson coefficient were respectively used for comparative analysis, difference analysis and correlation analysis. Based on the above analysis, the structural equation model of perceived social support, medical coping modes, psychological resilience and meaning in life of COVID-19 patients was established by Amos.
Results: COVID-19 patient’s score of meaning in life, perceived social support, medical coping modes and psychological resilience are higher than the medium level. The gender and the place of treatment have significant differences in the meaning of life and perceived social support respectively. The patient’s sense of life meaning it is closely and positively related to the perceived social support, medical coping modes and psychological resilience. Psychological resilience indirectly affects the sense of life meaning through medical coping modes and perceived social support.
Conclusion: The life meaning can be improved by strengthening the perceived social support. The high level of perceived social support was conducive to the patient to think about life from a positive perspective. Family, government, enterprise and others should give patients certain care and warmth, make them feel more support from all walks of life. In addition, the life meaning can also be enhanced through the impact of psychological resilience on medical coping modes. So, care-givers can take some proper psychological interventions to patients.
Keywords: COVID-19, perceived social support, medical coping modes, psychological resilience, meaning in life, mediation effect