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Path analysis of the status and influencing factors of heart-focused anxiety in patients with coronary heart disease
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Jia-min LI1, 2, Yan LI1, Jing-wen QIN2, Si-xin ZHOU1, Kai-zheng GONG1, 2
Modern Preventive Medicine | 2025, 52(1) : 15 - 20
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Modern Preventive Medicine | 2025, 52(1): 15-20
• Epidemiology and Statistical Methods •
Path analysis of the status and influencing factors of heart-focused anxiety in patients with coronary heart disease
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Jia-min LI1, 2, Yan LI1, Jing-wen QIN2, Si-xin ZHOU1, Kai-zheng GONG1, 2
Affiliations
  • School of nursing and school of public health, Yangzhou University, Yangzhou, Jiangsu 225009, China
Published: 2025-01-10 doi: 10.20043/j.cnki.MPM.202407264
Outline
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Objective

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.

Methods

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.

Results

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.

Conclusion

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.

Coronary heart disease  /  Heart-focused anxiety  /  Influencing factors  /  Structural equation model
李佳敏, 李岩, 秦静雯, 周思欣, 龚开政. 冠心病患者心因性焦虑现状及影响因素的路径分析. 现代预防医学, 2025 , 52 (1) : 15 -20 . DOI: 10.20043/j.cnki.MPM.202407264
Jia-min LI, Yan LI, Jing-wen QIN, Si-xin ZHOU, Kai-zheng GONG. Path analysis of the status and influencing factors of heart-focused anxiety in patients with coronary heart disease[J]. Modern Preventive Medicine, 2025 , 52 (1) : 15 -20 . DOI: 10.20043/j.cnki.MPM.202407264
Year 2025 volume 52 Issue 1
55
27
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doi: 10.20043/j.cnki.MPM.202407264
  • Receive Date:2024-07-16
  • Online Date:2026-10-29
  • Published:2025-01-10
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  • Received:2024-07-16
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    School of nursing and school of public health, Yangzhou University, Yangzhou, Jiangsu 225009, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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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
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