通讯作者: 王东, wangpsy@163.com

DOI：10.12201/bmr.202505.00008

The Mediating Role of Psychological Resilience between Self-Esteem and Death Anxiety in Elderly Patients after PCI

• 摘要：目的 探究心理弹性在经皮冠状动脉介入治疗（percutaneous coronary intervention，PCI）术后老年患者自尊和死亡焦虑间的中介作用。方法 以首都医科大学附属北京朝阳医院就诊的188名老年PCI术后患者为研究对象，采用中文版Rosenberg自尊量表（self-esteem scale，SES）、心理弹性量表（Connor-Davidson resilience scale，CD-RISC）、中文版五级死亡焦虑量表（The Chinese version of Templers Death Anxiety Scale，CT-DAS）对患者进行问卷调查。结果 PCI术后老年患者的死亡焦虑得分为（46.87±9.38）分，自尊得分为（27.37±4.38）分，心理弹性得分为（68.26±15.19）分。Pearson分析结果显示，自尊与心理弹性呈显著正相关，自尊、心理弹性与死亡焦虑均呈显著负相关（P<0.01）。心理弹性在自尊和死亡焦虑之间的部分中介效应值为-0.104，中介效应占比为35.7%，心理弹性可以有效解释死亡焦虑35.7%的变异量。结论 PCI术后老年患者的自尊对死亡焦虑具有重要影响，心理弹性在自尊与死亡焦虑的关系间起部分中介作用，可以通过心理干预提升患者自尊和心理弹性水平，缓解死亡焦虑，帮助患者更好地康复和生活。

  关键词： 老年; PCI术后; 死亡焦虑; 自尊; 心理弹性

   

  Abstract: Objective To investigate the mediating role of psychological resilience between self-esteem and death anxiety in elderly patients after percutaneous coronary intervention (PCI). Methods A total of 188 elderly patients who underwent PCI at Beijing Chaoyang Hospital, Capital Medical University were recruited as participants. They were administered questionnaires including the Chinese version of Rosenberg Self-Esteem Scale (self-esteem scale, SES), the Connor-Davidson Resilience Scale (Connor-Davidson resilience scale, CD-RISC), and the Chinese version of the Five-Level Death Anxiety Scale (The Chinese version of Templers Death Anxiety Scale, CT-DAS). Results The death anxiety score of elderly patients after PCI was (46.87 ± 9.38) points, the self-esteem score was (27.37 ± 4.38) points, and the psychological resilience score was (68.26 ± 15.19) points. Pearson correlation analysis revealed that self-esteem was significantly positively correlated with psychological resilience, while both self-esteem and psychological resilience were significantly negatively correlated with death anxiety (P < 0.01). The partial mediating effect of psychological resilience between self-esteem and death anxiety was -0.104, accounting for 35.7% of the mediating effect. Psychological resilience could effectively explain 35.7% of the variance in death anxiety. Conclusion Self-esteem has a significant impact on death anxiety in elderly patients after PCI, and psychological resilience plays a partial mediating role in the relationship between self-esteem and death anxiety. Psychological interventions can be implemented to enhance patients self-esteem and psychological resilience, thereby alleviating death anxiety and aiding in their better recovery and quality of life.

  Key words: Selderly; post-PCI; death anxiety; self-esteem; psychological resilience

  提交时间：2025-05-12

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-03-29	10.12201/bmr.202505.00008V1	下载

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