感知压力在脑卒中住院患者家庭沟通与家庭抗逆力间的中介效应

Abstract
Figure/Table
References (26)
Related Citation (15)

Download: PDF (745 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the mediating effect of perceived stress on family communication and family resilience of stroke patients. Methods Using the convenience sampling method, a total of 179 stroke patients who were hospitalized in the neurology department of a grade A tertiary hospital in Anhui Province from February to May 2020 were selected as the research objects. The general information questionnaire, family resilience rating scale, family communication scale, perceived stress scale were used to investigate it, the mediation model was constructed and tested. Results There were statistically significant differences in the total scores of family resilience of inpatients with different occupations, family per capita monthly income, and first-onset stroke inpatients (P ＜ 0.05). Family communication score was positively correlated with perceived pressure score (r = 0.615, P < 0.01), and negatively correlated with family resilience score (r = -0.547, P < 0.01); perceived stress was negatively correlated with family resilience (r = -0.489, P < 0.01). The mediating effect test results showed that perceived stress plays a partial mediating role between family communication and family resilience, and the mediating effect was -0.212, accounting for 34.30% of the total effect (-0.618). Conclusion Family communication can not only directly predict the family resilience level of stroke patients, but also indirectly affect family resilience through the perception of pressure. Clinical nurses can take interventional measures for the patient’s family communication and perceived stress status to enhance the patient’s family resilience.

Key words： Stroke Family resilience Family communication Perceived stress Mediating effect

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Man1
	2 LIU Annuo1▲ REN Haiyan2 JIANG Yan2 FANG Yueyan2 TANG Qiqiang2

Cite this article:

ZHANG Man1,2 LIU Annuo1▲ REN Haiyan2 JIANG Yan2 FANG Yueyan2 TANG Qiqiang2. Mediating effect of perceived stress on family communication and family resilience of stroke inpatients[J]. 中国医药导报, 2021, 18(23): 47-50,54.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I23/47

[1] 王陇德，刘建民，杨弋，等.我国脑卒中防治仍面临巨大挑战——《中国脑卒中防治报告2018》概要[J].中国循环杂志，2019，34（2）：105-119.
[2] Love MF，Sharrief A，Chaoul A，et al. Mind-Body Interventions，Psychological Stressors，and Quality of Life in Stroke Survivors [J]. Stroke，2019，50（2）：434-440.
[3] Prasad M，Khanna P，Katyal VK，et al. Acute Psychological Stress is a Trigger for Stroke：A Case-Crossover Study [J]. J Stroke Cerebrovasc Dis，2020，29（6）：104799.
[4] Li Y，Qiao Y，Luan X，et al. Family resilience and psychological well-being among Chinese breast cancer survivors and their caregivers [J]. Eur J Cancer Care （Engl），2019，28（2）：e12984.
[5] Wong P，Liamputtong P，Koch S，et al. The Impact of Social Support Networks on Family Resilience in an Australian Intensive Care Unit：A Constructivist Grounded Theory [J]. J Nurs Scholarsh，2019，51（1）：68-80.
[6] 叶明明，张薇，周兰姝.家庭抗逆力实践干预项目的研究进展及启示[J].护理学杂志，2020，35（18）：110-113.
[7] Briggs EC，Fairbank JA，Tunno AM，et al. Military Life Stressors，Family Communication and Satisfaction：Associations with Children’s Psychosocial Outcomes [J]. J Child Adolesc Trauma，2019，13（1）：75-87.
[8] Jiménez TI，Estévez E，Velilla CM，et al. Family Communication and Verbal Child-to-Parent Violence among Adolescents：The Mediating Role of Perceived Stress [J]. Int J Environ Res Public Health，2019，16（22）：4538.
[9] Guo LN，Liu YJ，McCallum J，et al. Perceived Stress and Depression Amongst Older Stroke Patients：Sense of Coherence as a Mediator? [J]. Arch Gerontol Geriatr，2018， 79（7）：164-170.
[10] Lennon SL，Heaman M. Factors associated with family resilience during pregnancy among inner-citywomen [J]. Midwifery，2015，31（10）：957-964.
[11] 饶明俐.中国脑血管病防治指南编写委员会.中国脑血管病防治指南[M].北京：人民卫生出版社，2007：145.
[12] 江丽杰，胡镜清，易丹辉，等.基于广义估计方程的缺血性中风病中医证候要素动态变化与NIHSS评分变化纵向相关性分析[J].中国中医基础医学杂志，2017，23（2）：221-225.
[13] 侯东哲，张颖，巫嘉陵，等.中文版Barthel指数的信度与效度研究[J].临床荟萃，2012，27（3）：219-221.
[14] 戴艳.中学生家庭复原力的结构及其与心理健康的关系研究[D].北京：北京师范大学，2008.
[15] Cohen S，Kamarck T，Mermelstein R. A Global Measure of Perceived Stress [J]. J Health Soc Behav，1983，24（4）：385-396.
[16] 王振，王渊，吴志国，等.应激感受量表中文版的信度与效度[J].上海交通大学学报：医学版，2015，35（10）：1448-1451.
[17] Epstein NB，Baldwin LM，Bishop DS. The McMaster Family Assessment Device [J]. J Marital Fam Ther，1983，9（2）：171-180.
[18] 刘培毅，何慕陶.家庭功能评定[J].中国心理卫生杂志，1999：149-152.
[19] 王文慧.癌症患者家庭的家庭适应性与家庭韧性因素的相关性研究[D].大连：大连医科大学，2015.
[20] 吴艳，温忠麟.结构方程建模中的题目打包策略[J].心理科学进展，2011，19（12）：1859-1867.
[21] 颜彦，张智.家庭复原力对老年脑梗死患者负性情绪和生活质量的影响[J].解放军护理杂志，2017，34（23）：6-10.
[22] 曾莹，欧建君，杨佳欣，等.孤独症谱系障碍儿童家庭复原力现状及影响因素分析[J].中国临床心理学杂志，2019， 27（6）：1271-1274.
[23] Gunal A，Baskurt F，Baskurt Z. The effect of emotional distress on functional outcomes in acute stroke patients [J]. Niger J Clin Pract，2019，22（11）：1583-1589.
[24] Isaacs SA，Roman NV，Savahl S. The Development of a Family Resilience-strengthening Programme for Families in a South African Rural Community [J]. J Community Psychol，2018，46（5）：616-635.
[25] 刘壮，张悦，刘荣勋，等.医学生感知压力的潜在剖面分析[J].中国卫生统计，2020，37（6）：859-861.
[26] 张红香，王雪玲，贾芸玲.正念减压疗法对初诊矽肺患者负性情绪与应对方式影响[J].中国职业医学，2020， 47（4）：463-466.