摘要
目的:研究家庭赋权对首发脑卒中患者家庭抗逆力影响链式路径。方法:纳入2024年2月至2024年7月收治的312例首发脑卒中患者及相应照顾者为研究对象,临床资料、应对方式、自我效能、家庭抗逆力、家庭赋权采用调查问卷、简易应对方式量表、一般自我效能感量表、家庭抗逆力量表、主要照顾者赋权能力量表评估,采用Pearson和结构方程模型分析家庭赋权与家庭抗逆力的关系。结果:不同年龄、性别、体质量指数、婚姻状况、疾病类型、发病时间至就诊时间的首发脑卒中患者家庭抗逆力评分差异无统计学意义(P>0.05),严重功能障碍患者家庭抗逆力评分低于轻微或无功能障碍患者(P<0.05);不同年龄、性别、婚姻状况、文化程度的首发脑卒中照顾者家庭抗逆力评分差异无统计学意义(P>0.05),患有慢性病的首发脑卒中照顾者家庭抗逆力评分低于未患慢性病的照顾者(P<0.05);相关性分析显示,积极应对方式、自我效能、家庭赋权与家庭抗逆力均呈正相关关系(P<0.05),消极应对方式与家庭抗逆力负相关(P<0.05);结构方程模型拟合指标χ2/df=2.522,RMSEA=0.070,TLI=0.932,CFI=0.944;Bootstrap程序检验显示,家庭赋权可直接或通过自我效能/应对方式间接影响家庭抗逆力。结论:临床在首发脑卒中恢复中,应重视家庭赋权在不同作用路径之间的效应,以路径为依据,采取合理的干预方式来使脑卒中患者家庭抗逆力提高。
Objective:To investigate the mediating pathways through which family empowerment impacts family resilience in first-episode stroke patients.Methods:312 first-episode stroke patients and corresponding caregivers admitted from February 2024 to July 2024 were included as the research subjects.Clinical data,coping styles,self-efficacy,family resilience,and family empowerment were evaluated using questionnaires,Simple Coping Styles Scale,General Self-efficacy Scale,Family Resilience Scale,and Main Caregivers Empowerment.Pearson and Structural Equation Models were used to analyze the relationship between family empowerment and family resilience.Results:There was no statistically significant difference in family resilience scores among patients with first stroke from different age,gender,body mass index,marital status,disease type,time of onset to visit time(P>0.05),patients with severe dysfunction showed lower family resilience scores compared to those with mild or no dysfunction(P<0.05).There was no significant difference in the family resilience scores of first-time stroke caregivers with different ages,genders,marital status,and education levels(P>0.05),the family resilience scores of first-time stroke caregivers with chronic diseases were lower than those without chronic diseases(P<0.05).Correlation analysis showed that positive coping styles,self-efficacy,and family empowerment showed positive correlations with family resilience(P<0.05),while negative coping styles were negatively correlated with family resilience(P<0.05).Structural model fitting indicatorsχ2/df=2.522,RMSEA=0.070,TLI=0.932,CFI=0.944,Bootstrap program test showed that family empowerment could directly affect family resilience,and could also affect family resilience through self-efficacy and coping styles.Conclusion:In clinical recovery from first stroke,attention should be paid to the effect of family empowerment between different action paths,and reasonable intervention methods should be adopted based on the paths to improve the resilience of family stroke patients.
作者
曾诚
张黎红
尹小兵
ZENG Cheng;ZHANG Li-hong;YIN Xiao-bing(School of Medicine,Tongji University,Shanghai 200092;Department of Nursing,Shanghai Tenth People s Hospital of Tongji University,Shanghai 200072;Department of Neurology,the First People s Hospital of Taicang,Taicang 215400,Jiangsu,China)
出处
《川北医学院学报》
2025年第8期1080-1083,共4页
Journal of North Sichuan Medical College
基金
上海申康医院发展中心项目(SHDC22022223)。
