The Correlation Between Coping Style Psychological Capital And Health Promotion Behavior In Elderly Patients With Intracranial Aneurysm

Objective: Understanding in elderly patients with intracranial aneurysm coping style,psychological capital and the present situation of the health promotion behavior,analyzes the differences in the general data,discusses in elderly patients with intracranial aneurysm coping styles and psychological capital and the relationship between the health promotion behavior,analysis of the influence factors of elderly patients with intracranial aneurysm health promotion behavior,It provides theoretical basis for medical workers to carry out personalized health education and improve patients’ health promotion behavior level in clinical daily work.Methods: This study is a descriptive study in a non-experimental study.Convenience sampling method was adopted to select 266 eligible elderly patients with intracranial aneurysm from the inpatients of neurosurgery in a third class A hospital in a province and a city from March to September 2021.General demographic characteristics questionnaire,Positive Psychological Capital Scale(PPQ),Simplified Coping Style Scale(SCSQ),health Promotion Lifestyle Scale ⅱ were used to investigate.SPSS26.0 software was used to organize and analyze the questionnaire.Mean,standard deviation,frequency,constituent ratio,T test,one-way an OVA,Pearson correlation analysis and multiple linear regression were used.The test level α=0.05 and P < 0.05 were considered statistically significant.Results:(1)General situation of study subjects: 266 patients were investigated in this study,and the included data were normally distributed.Patients aged 60-65 accounted for the most,accounting for 36.10%;The education level of senior high school/technical secondary school is the most,accounting for 58.65%,and the education level of college or above is the least,accounting for9.02% of the total number of respondents.(2)The total score of health promotion behavior in elderly aneurysm patients was(136.7±23.05),and the overall score was above the middle level.There were statistically significant differences in disease type and whether patients had received interventional therapy,age,gender and education level(P < 0.05).(3)The total score of coping style in elderly aneurysm patients was(38.96±9.36),and the overall score was lower than the middle level.The score of positive coping style in each dimension was high,which was(26.36±8.32),and the score of negative coping style was(12.60±5.85).There were statistically significant differences in age,gender,family history,complications and whether patients had received interventional therapy(P < 0.05).(4)The total psychological capital score of elderly aneurysm patients was(135.2±15.02),which was in the middle level.The scores of various dimensions from high to low were self-efficacy(50.25±4.263),optimism(46.32±8.936),hope(23.26±2.368),resilience(15.38±2.369).There were statistically significant differences in age,gender,education level,marital status,living alone or not,type of disease,drinking and whether to receive interventional therapy(P < 0.05).(5)Pearson correlation analysis showed that coping style was significantly positively correlated with health promotion behavior(R =0.671,P < 0.01).There was a significant positive correlation between psychological capital and health promotion behavior(R=0.669,P<0.01).Coping style was positively correlated with psychological capital(R =0.582,P < 0.01).(6)Multiple regression analysis showed that coping style,psychological capital,payment mode of medical expenses,education level and disease type were important factors affecting health promotion behavior of elderly aneurysm patients,which could jointly explain 62.30% variation of health promotion behavior(F=214.316,P < 0.05).Conclusions:(1)In this study,the health promotion behavior and psychological capital of elderly aneurysm patients are at a moderate level.Coping styles are below average.(2)In terms of general information,age,gender,education level,disease type,whether the intervention therapy has an impact on health promotion behavior and coping style,psychological capital;The psychological capital of patients was also affected by marital status,living alone or not,and drinking.(3)There was a positive correlation between coping style and health promotion behavior in elderly aneurysm patients;There is a positive correlation between psychological capital and health promotion behavior.Coping style is positively correlated with psychological capital.(4)The factors affecting health promotion behavior include coping style,psychological capital,payment mode of medical expenses,education level and disease type.