中青年脑卒中患者配偶照顾者自我护理贡献与二元应对的相关性分析

Correlation analysis of self-care contribution and binary coping among spouse caregivers of middle-aged and young stroke patients

目的了解中青年脑卒中患者配偶照顾者自我护理贡献及二元应对水平,并探讨二者之间的关系,为提升配偶照顾者对中青年脑卒中患者自我护理贡献的质量提供参考。方法采取一般资料调查表、照顾者对脑卒中患者自我护理贡献量表、二元应对量表对2023年1—6月新疆维吾尔自治区人民医院200名中青年脑卒中患者配偶照顾者进行横断面调查。分析配偶照顾者自我护理贡献与二元应对的相关性,筛选影响配偶照顾者自我护理贡献的因素。结果最终纳入192名中青年脑卒中患者配偶照顾者,男70名,女122名,年龄18~59岁。中青年脑卒中患者配偶照顾者自我护理贡献总分为(75.43±6.80)分,二元应对总分为(117.12±9.59)分,两者呈正相关(r=0.691,P<0.05)。分层线性回归分析显示,控制一般资料的影响后,二元应对能解释中青年脑卒中患者配偶照顾者自我护理贡献28.4%的变异(P<0.05)。结论中青年脑卒中患者配偶照顾者二元应对水平可正向预测其对中青年脑卒中患者自我护理贡献的质量。医护人员应评估中青年脑卒中患者及配偶二元应对水平,针对性地开展二元干预措施,以提高配偶照顾者对中青年脑卒中患者自我护理贡献的质量。

Objective To investigate the self-care contribution and binary coping level of spouse caregivers for middle-aged and young stroke patients and explore the relationship between the two,in order to improve the quality of self-care contribution of spouse caregivers to middle-aged and young stroke patients.Methods A cross-sectional survey was conducted among 200 middle-aged and young stroke patients′spouse caregivers in the People′s Hospital of Xinjiang Uygur Autonomous Region from January to June 2023 by the general data questionnaire,the Caregiver Contribution to Self-care of Stroke Patient Scale,the Dyadic Coping Inventory.The correlation between self-care contributions and binary coping strategies of spousal caregivers was analyzed,and the factors that affect their self-care contributions were screened.Results Finally,192 middle-aged and young stroke patients′spouse caregivers were included,including 70 males and 122 females,aged 18-59 years old.The total score of self-care contribution of spousal caregivers of middle-aged and young stroke patients was(75.43±6.80)points,and the total score of binary coping was(117.12±9.59)points,both of which were positively correlated(r=0.691,P<0.05).Hierarchical regression analysis showed that after controlling for the influence of general data,binary coping could explain 28.4%variation in the self-care contribution of spouse caregivers of middle-aged and young stroke patients(P<0.05).Conclusions The duality coping level positively predicts the quality of spouse caregivers′self-care contribution to middle-aged and young stroke patients.Medical staff should assess the dual coping level of middle-aged and young stroke patients and their spouses,and carry out targeted dual intervention measures to improve the quality of caregivers'contribution to stroke patients′self-care.