A study on the discovery level of benefit finding for elderly patients with hypertension and its impact pathways

LIU Fei; DONG Jianli; YI Jing; MA Sihui; ZOU Jiahui; DAI Yumei

doi:10.3969/j.issn.1671-315x.2025.10.007

Abstract：Objective To explore the benefit finding level among elderly hypertensive patients and its impact pathways,providing refer-ences for the development of targeted intervention strategies.Methods From February to September 2023,there were 203 elderly inpatients with hypertension from a tertiary grade A hospital in Dalian selected as the research subjects by convenience sampling.They were investigated by used the General Information Questionnaire,Revised Life Orientation Test,Social Support Rating Scale,Illness Perception Questionnaire,Medical Coping Modes Questionnaire and Benefit Finding Scale.Results The scores of the optimistic tendency,social support,illness percep-tion,benefit finding in elderly hypertensive patients were 22.00(17.00,27.00)、35.00(31.00,39.00),31.00(29.00,53.00)and 53.00(38.00,60.00),respectively,the highest dimension score of coping style was facing 25.00(14.00,28.00).Benefit finding was positively correlated with optimistic tendency,social support,and the confront(P＜0.01),and also negatively correlated with illness perception(P＜0.01).The mediating effect analysis showed that:in elderly patients with hypertension,illness perception and the confront played a chain mediating role between optimism and discovery of benefits.The direct effect between optimistic tendency and benefit finding was significant,with a value of 0.316,the indirect effect were 0.070,0.079,and 0.010,respectively.And the total effect was 0.475.Illness perception and the confront also exerted a chain mediating effect between social support and benefit finding.The direct effect between social support and benefit finding was significant,with a value of 0.245,the indirect effect were 0.102,0.036,and 0.015,respectively.And the total effect was 0.398.Conclusion The optimistic tendency and level of social support in elderly hypertensive patients can directly influence their benefit finding levels,as well as indirectly affect these levels through the mediating effects of disease perception and coping styles,and the chain mediating effects of these two factors.It suggests that while improving the level of benefit finding in elderly hypertensive patients,medical staff should fo-cus on reducing their negative disease perception,increasing family and social care and support,maintaining optimistic emotions to actively cope with the troubles caused by the disease,and enhancing the sense of benefit to improve the quality of life.