心理弹性在急性缺血性脑卒中患者自我管理及生活质量的中介效应

Mediating Effect of Resilience on Self-Management and Quality of Life in Patients with Acute Ischemic Stroke

目的 调查急性缺血性脑卒中(AIS)患者生活质量现状,分析心理弹性在自我管理与生活质量的中介效应。方法 采用便利抽样法,选取2021年10月至2022年4月于成都市某两所三级甲等综合医院住院的236例AIS患者为研究对象,对患者一般资料、自我管理、心理弹性、生活质量进行调查。结果 AIS患者自我管理得分为(83.73±16.96)分,心理弹性得分为(24.33±6.29)分,生活质量得分为70.45(56.82,81.77)分,三者之间存在相关关系(P<0.01)。AIS患者自我管理对生活质量的中介效应为0.411,占总效应的58.13%。结论 AIS患者生活质量较低,心理弹性在自我管理与生活质量间具有中介作用。

Objective To investigate the status quo of quality of life in patients with acute ischemic stroke(AIS),and analyze the mediating effect of resilience on self-management and quality of life.Methods A total of 236 AIS patients hospitalized in two tertiary grade A general hospitals in Chengdu from October 2021 to April 2022 were selected by convenience sampling method.The general data,self-management,resilience and quality of life of patients were investigated.Results The scores of AIS patients were(83.73±16.96)points for self-management,(24.33±6.29)points for resilience,and 70.45(56.82,81.77)points for quality of life.And there was a correlation among the three(P<0.01).The mediating effect of selfmanagement on quality of life in AIS patients was 0.411,accounting for 58.13%of the total effect.Conclusion The quality of life of AIS patients is low,and resilience plays a mediating role between self-management and quality of life.