To understand the status of heart-focused anxiety (HFA) in patients with coronary heart disease and to construct a structural equation model based on the theory of stress processes to analyze the influencing factors and correlations among various variables.
A convenience sampling method was used to select 247 patients with coronary heart disease who visited the Department of Cardiology at the Affiliated Hospital of Yangzhou University from December 2023 to June 2024 for a questionnaire survey. A structural equation model was employed to investigate the influencing factors and path analysis of HFA in these patients.
A total of 247 patients with coronary heart disease were included, with a mean score of (25.77±8.39) on the heart anxiety questionnaire, and the HFA detection rate was 33.2% (82 cases). The structural equation model indicated that positive coping, negative coping, social support, and disease perception had direct effects on HFA, with effect values of -0.226, 0.275, -0.272, and 0.204, respectively (all P < 0.01). Social support had an indirect negative effect value on HFA of-0.187 (95%CI: -0.302 to -0.096), accounting for 40.74% of the total effect. The disease perception had an indirect positive effect value on HFA of 0.335 (95%CI: 0.242 to 0.385), accounting for 62.27% of the total effect.
HFA symptoms are relatively common in patients with coronary heart disease. Healthcare professionals can reduce the level of HFA in patients by guiding them to establish correct disease cognition, adopt positive coping strategies, and actively seek social support.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |