智谋在脑卒中患者主要照顾者知觉压力与抑郁间的中介作用

Mediating role of resourcefulness between perceived stress and depression in primary caregivers of stroke patients

目的探讨智谋在脑卒中患者主要照顾者知觉压力与抑郁间的中介作用。方法采用便利抽样法,选取2020年12月—2021年8月银川市3所三级甲等医院的311名脑卒中住院患者的主要照顾者为研究对象,采用一般情况调查表、智谋量表、中文版知觉压力量表、抑郁自评量表进行调查。采用SPSS 25.0统计学软件与PROCESS分析三者间的关系,探讨智谋在脑卒中患者主要照顾者知觉压力与抑郁关系间的中介作用。结果本研究发放问卷311份,回收问卷311份,有效问卷308份。脑卒中患者主要照顾者的知觉压力得分为(24.98±6.38)分,智谋得分为(83.98±12.85)分,抑郁得分为(44.35±8.40)分。智谋与知觉压力、抑郁得分均呈负相关(r=-0.313、-0.317,P均<0.01),知觉压力与抑郁呈正相关(r=0.425,P<0.01)。Bootstrap法进一步验证了智谋在知觉压力与抑郁间起部分中介作用,中介效应占总效应的14.95%。结论智谋是脑卒中患者主要照顾者知觉压力与抑郁间的中介变量,智谋在知觉压力与抑郁间起部分中介作用。

Objective To understand the mediating role of resourcefulness between perceived stress and depression in primary caregivers of stroke patients.Methods The primary caregivers of 311 inpatients with stroke in three ClassⅢGrade A hospitals in Yinchuan from December 2020 to August 2021 were selected by convenience sampling and investigated with the general information form,Resourcefulness Scale(RS),Chinese Perceived Stress Scale(CPSS)and Self-Rating Depression Scale(SDS).SPSS 25.0 and PROCESS were used to analyze the relationship between the three,and to explore the mediating role of resourcefulness between perceived stress and depression in the primary caregivers of stroke patients.Results In this study,311 questionnaires were distributed,311 questionnaires were recovered,and 308 questionnaires were valid.The primary caregivers of stroke patients scored(24.98±6.38)for perceived stress,(83.98±12.85)for resourcefulness,and(44.35±8.40)for depression.Resourcefulness was negatively correlated with perceived stress and depression scores(r=-0.313,-0.317;P<0.01),and perceived stress was positively correlated with depression(r=0.425,P<0.01).The Bootstrap method further validated that resourcefulness played a partial mediating role between perceived stress and depression,and the mediating effect accounted for 14.95%of the total effect.Conclusions Resourcefulness is a mediating variable between the perceived stress and depression of the primary caregivers of stroke patients,and resourcefulness plays a partial mediating role between perceived stress and depression.