The mediating effect of coping styles between resilience and demoralization in elderly patients with coronary heart disease
GUO Tengfei
WANG Lei
ZHU Lin
LIU Yangyang
SANG Li
Abstract：Objective To explore the impact of resilience on demoralization and investigate the mediate role of coping styles in the re-lationship between resilience and demoralization in elderly patients with coronary artery disease(CAD).Methods A total of 238 elderly pa-tients with CAD were selected.General Information Questionnaire,Connor-Davidson Resilience Scale,Simplified Coping Style Questionnaire,and Demoralization Scale Mandarin Version were used for investigation.Results The average scores of resilience was(52.58±7.26),the av-erage scores of positive coping style was(22.27±4.36),the average scores of negative coping was(13.39±2.47),and the scores of demorali-zation was(43.62±6.74).Resilience in elderly patients with CAD was negatively correlated with negative coping(r=-0.587,P＜0.01)and demoralization(r=-0.922,P＜0.01),while positively correlated with positive coping(r=0.656,P＜0.01).Demoralization was negatively cor-related with positive coping(r=-0.854,P＜0.01)and positively correlated with negative coping(r=0.669,P＜0.01).Positive coping and negative coping played a partial mediating effect between resilience and demoralization.Their mediating effects were 22.49%and 19.77%,re-spectively.Conclusion The level of demoralization in elderly patients with CAD need to be reduced.Medical staff should pay full attention to the psychological condition in elderly patients with CAD.Multidisciplinary integrated intervention and management should be conducted to im-prove the outcome of the disease.
Keywords：coronary heart diseasethe elderlydemoralizationresiliencecoping stylesmediating effect
Publication Date：2025-04-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 363-368 )