标题：Coping Styles Mediate the Relationship Between Self-esteem, Health Locus of Control, and Health-Promoting Behavior in Chinese Patients With Coronary Heart Disease
作者机构：[Zou, H] School of Nursing, Shandong University, 44Wenhua Xi Road, Jinan, Shandong Province, 250012, China;[ Tian, Q] Heze Medical College, Heze, Shan 更多
通讯作者地址：[Fan, XZ]Shandong Univ, Sch Nursing, 44Wenhua Xi Rd, Jinan 250012, Shandong, Peoples R China.
来源：The Journal of Cardiovascular Nursing
关键词：coping styles; coronary heart disease; health locus of control;; health-promoting behavior; self-esteem
摘要：BACKGROUND:: Health-promoting behavior plays an important role in reducing the burden of coronary heart disease. Self-esteem and health locus of control may contribute to health-promoting behavior, and coping styles may mediate these associations.
OBJECTIVE:: The aims of our study were to examine whether self-esteem and health locus of control are associated with health-promoting behavior and examine the possible mediating effect of coping styles in patients with coronary heart disease.
METHODS:: Health-promoting behavior, self-esteem, health locus of control, and coping styles were assessed in 272 hospitalized patients (60 ± 12 years, 61% male) with coronary heart disease. Hierarchical regression analysis was conducted to analyze the relationships between health-promoting behavior and other variables. Mediation effect was examined according to the methods of Baron and Kenny.
RESULTS:: The mean score for health-promoting behavior was 2.57 ± 0.51; 38.2% of patients (n = 104) scored lower than 2.5. Self-esteem (β = .139, P < .05), confrontation coping style (β = .491, P < .001), disease duration (≥6 months, β = .147, P < .05), and monthly income (≥1000 RMB [approximately US$154], β = .111, P < .05) were positively associated with health-promoting behavior, accounting for 47.5% of its variance (F = 19.828). Confrontation partly mediated the association between self-esteem and health-promoting behavior and completely mediated the relationship between internal health locus of control and health-promoting behavior.
CONCLUSIONS:: Confrontation plays a mediating role in the association among self-esteem, internal health locus of control, and health-promoting behavior. Strategies should be undertaken to encourage the use of confrontation coping style, which will facilitate health-promoting behavior.