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

Mediating effect of perceived stress on family communication and family resilience of stroke inpatients

目的分析感知压力在脑卒中患者家庭沟通与家庭抗逆力间的中介效应。方法采用便利抽样方法,选取2020年2月至5月安徽省某三级甲等医院神经内科住院的179例脑卒中患者为研究对象。采用一般资料调查表、家庭抗逆力评定量表、家庭沟通量表、感知压力量表对其进行调查,构建并检验中介模型。结果不同职业、家庭人均月收入、首次发病的脑卒中住院患者家庭抗逆力总分比较,差异有统计学意义(P<0.05)。家庭沟通得分与感知压力得分呈正相关(r=0.615,P<0.01)、与家庭抗逆力得分呈负相关(r=-0.547,P<0.01);感知压力与家庭抗逆力呈负相关(r=-0.489,P<0.01)。中介效应检验结果显示,感知压力在家庭沟通与家庭抗逆力之间起部分中介作用,且中介效应为-0.212,占总效应(-0.618)的34.30%。结论家庭沟通既可直接预测脑卒中患者的家庭抗逆力水平,又能通过感知压力间接影响家庭抗逆力。临床护士可针对患者家庭沟通和感知压力状况采取干预性措施,以提升患者的家庭抗逆力。

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.