自我效能在老年脑卒中病人社会支持与心理弹性间的调节效应研究

Mediating effect of self-efficacy between social support and mental resilience in elderly stroke patients

目的:探讨自我效能在老年脑卒中病人社会支持与心理弹性之间的调节作用。方法:采用便利抽样法选取上海市3所康复医院收治的156例老年脑卒中病人为研究对象,使用心理弹性量表(Connor-Davidson Resilience Scale,CD-RISC)、一般自我效能量表(General Self-Efficacy,GSES)、社会支持评定量表进行调查。结果:分层回归结果显示自我效能和社会支持对心理弹性具有独立主效应(P<0.05),简单斜率分析表明自我效能低水平和中等水平,社会支持与心理弹性呈正相关(β=0.63,P<0.001;β=0.26,P<0.001);自我效能高水平,社会支持与心理弹性呈显著负相关(β=-0.11,P<0.001)。结论:在改善老年脑卒中病人心理弹性的干预性研究中,应根据自我效能水平实施分层干预,提高干预的精准度和社会支持效能。

Objective:To explore the mediating effect of self-efficacy between social support and resilience in elderly stroke patients.Methods:A total of 156 elderly stroke patients were selected in 3 rehabilitation hospitals in Shanghai as the research subjects.Connor-Davidson Resilience Scale(CD-RISC)and General Self-Efficacy Scale(GSES),and Social Support Rating Scale(SSRS)were used for investigation.Results:Hierarchical regression results showed that self-efficacy and social support had independent main effects on mental resilience(P<0.05).Simple slope analysis showed that low and medium levels of self-efficacy,social support and mental resilience were significantly positively correlated(β=0.63,P<0.001;β=0.26,P<0.001);High levels of self-efficacy,social support and mental resilience were negatively correlated(β=-0.11,P<0.001).Conclusions:In the interventional research on improving the resilience of elderly stroke patients,stratified intervention should be implemented according to the level of self-efficacy to improve the accuracy of intervention and the effectiveness of social support.