BACKGROUND Stroke patients often experience psychological distress,which can impact their intimate relationships with spouses,subsequently influencing their treatment and recovery.Physical activity is considered a key...BACKGROUND Stroke patients often experience psychological distress,which can impact their intimate relationships with spouses,subsequently influencing their treatment and recovery.Physical activity is considered a key rehabilitation method for stroke patients.This paper aims to analyze whether psychological distress affects intimate relationship between spouses through physical activity.AIM To explore the mediating effect of physical activity between psychological distress and intimate relationship in stroke patients.METHODS A total of 256 stroke patients who underwent treatment at the First People’s Hospital of Shangqiu between July 2021 and July 2022 were enrolled in this study.The participants completed questionnaires,including the Kessler Psychological Distress Scale(K10),the Quality of Relationship Index(QRI),International Physical Activity Questionnaire,and a general information questionnaire.Data analysis were performed using SPSS 23.0.The Harman test was employed to detect common method deviations,and Spearman correlation was used for correlation analysis.The mediating effect was assessed using Process 3.4.1,with significance testing of the regression coefficients conducted using the bias-corrected percentile Bootstrap method(5000 iterations,95%confidence interval).Statistical significance was set at P<0.05.RESULTS The results showed that patients scored an average of 21.61±6.44 points on the K10,32.40±6.19 points on the QRI;the median physical activity level according to the International Physical Activity Questionnaire was 1861(566,2846)MET·min/w.The level of physical activity(the physical activity intensity of the patients reflected by the Interna-tional Physical Activity Questionnaire-Long Form scale)negatively correlated with psychological distress and intimacy(P<0.05),and positively correlated with each other(P<0.05),with the correlation stronger at lower physical activity levels compared to higher ones.The mediating effect of physical activity between psychological distress and intimate relationship was calculated to be 40.23%.Bootstrap analysis further validated the results.The mediating effect of psychological distress on intimate relationships through physical activity level was-0.284,with a confidence interval of-0.409 to-0.163,excluding 0,confirming a significant mediating effect of psychological distress on intimate relationships.CONCLUSION Physical activity significantly affects relationship between psychological distress and intimate relationships among stroke patients.Addressing the role of physical activity may have implications for improving patient outcomes and rehabilitation strategies.展开更多
目的全面了解脑卒中患者与照顾者家庭亲密关系变化过程中的体验,为制订脑卒中患者及照顾者二元应对干预方案提供参考。方法检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、知网、万方、维普等中英文数据库,筛选关于脑...目的全面了解脑卒中患者与照顾者家庭亲密关系变化过程中的体验,为制订脑卒中患者及照顾者二元应对干预方案提供参考。方法检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、知网、万方、维普等中英文数据库,筛选关于脑卒中患者或照顾者家庭亲密关系变化体验相关的质性研究,检索时限为建库至2023年1月。结果共纳入14篇研究,提炼出34个研究结果,最终归纳形成7个新类别,综合出3个整合结果:亲密关系变化过程中负性体验突出;亲密关系变化的适应困境;积极适应关系变化,获得正性体验。结论护理人员应加强对脑卒中患者与照顾者家庭亲密关系变化的动态评估,识别关系变化过程中的未满足需求,促进多元支持系统的建立,引导家庭亲密关系平稳转变。展开更多
目的系统整合妇科癌症患者亲密关系体验的质性研究,为构建妇科癌症患者及其配偶二元应对干预方案提供参考。方法计算机检索PubMed、Web of Science、Embase、Cochrane Library、Scopus、中国知网、万方数据库、维普数据库、中国生物医...目的系统整合妇科癌症患者亲密关系体验的质性研究,为构建妇科癌症患者及其配偶二元应对干预方案提供参考。方法计算机检索PubMed、Web of Science、Embase、Cochrane Library、Scopus、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于妇科癌症患者亲密关系体验和夫妻二元应对的质性研究,检索年限为建库至2023年11月。采用澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心质性研究质量评价标准评价文献质量,采用Meta整合法对结果进行归纳和整合。结果共纳入了8项研究,提炼了24个主题,归纳成7个类别,3个整合结果:迷茫期—亲密关系受损;调整期—夫妻积极应对与消极应对;恢复期—重新审视亲密关系,重建自我概念。结论医护人员应重视妇科癌症患者亲密关系的评估,及时识别亲密伴侣暴力,指导夫妻积极应对的方式和自我调适的策略,促进患者夫妻创伤后成长。展开更多
基金The study procedures were approved by the First People’s Hospital of Shangqiu(2021-125-29).
文摘BACKGROUND Stroke patients often experience psychological distress,which can impact their intimate relationships with spouses,subsequently influencing their treatment and recovery.Physical activity is considered a key rehabilitation method for stroke patients.This paper aims to analyze whether psychological distress affects intimate relationship between spouses through physical activity.AIM To explore the mediating effect of physical activity between psychological distress and intimate relationship in stroke patients.METHODS A total of 256 stroke patients who underwent treatment at the First People’s Hospital of Shangqiu between July 2021 and July 2022 were enrolled in this study.The participants completed questionnaires,including the Kessler Psychological Distress Scale(K10),the Quality of Relationship Index(QRI),International Physical Activity Questionnaire,and a general information questionnaire.Data analysis were performed using SPSS 23.0.The Harman test was employed to detect common method deviations,and Spearman correlation was used for correlation analysis.The mediating effect was assessed using Process 3.4.1,with significance testing of the regression coefficients conducted using the bias-corrected percentile Bootstrap method(5000 iterations,95%confidence interval).Statistical significance was set at P<0.05.RESULTS The results showed that patients scored an average of 21.61±6.44 points on the K10,32.40±6.19 points on the QRI;the median physical activity level according to the International Physical Activity Questionnaire was 1861(566,2846)MET·min/w.The level of physical activity(the physical activity intensity of the patients reflected by the Interna-tional Physical Activity Questionnaire-Long Form scale)negatively correlated with psychological distress and intimacy(P<0.05),and positively correlated with each other(P<0.05),with the correlation stronger at lower physical activity levels compared to higher ones.The mediating effect of physical activity between psychological distress and intimate relationship was calculated to be 40.23%.Bootstrap analysis further validated the results.The mediating effect of psychological distress on intimate relationships through physical activity level was-0.284,with a confidence interval of-0.409 to-0.163,excluding 0,confirming a significant mediating effect of psychological distress on intimate relationships.CONCLUSION Physical activity significantly affects relationship between psychological distress and intimate relationships among stroke patients.Addressing the role of physical activity may have implications for improving patient outcomes and rehabilitation strategies.
文摘目的全面了解脑卒中患者与照顾者家庭亲密关系变化过程中的体验,为制订脑卒中患者及照顾者二元应对干预方案提供参考。方法检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、知网、万方、维普等中英文数据库,筛选关于脑卒中患者或照顾者家庭亲密关系变化体验相关的质性研究,检索时限为建库至2023年1月。结果共纳入14篇研究,提炼出34个研究结果,最终归纳形成7个新类别,综合出3个整合结果:亲密关系变化过程中负性体验突出;亲密关系变化的适应困境;积极适应关系变化,获得正性体验。结论护理人员应加强对脑卒中患者与照顾者家庭亲密关系变化的动态评估,识别关系变化过程中的未满足需求,促进多元支持系统的建立,引导家庭亲密关系平稳转变。
文摘目的系统整合妇科癌症患者亲密关系体验的质性研究,为构建妇科癌症患者及其配偶二元应对干预方案提供参考。方法计算机检索PubMed、Web of Science、Embase、Cochrane Library、Scopus、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于妇科癌症患者亲密关系体验和夫妻二元应对的质性研究,检索年限为建库至2023年11月。采用澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心质性研究质量评价标准评价文献质量,采用Meta整合法对结果进行归纳和整合。结果共纳入了8项研究,提炼了24个主题,归纳成7个类别,3个整合结果:迷茫期—亲密关系受损;调整期—夫妻积极应对与消极应对;恢复期—重新审视亲密关系,重建自我概念。结论医护人员应重视妇科癌症患者亲密关系的评估,及时识别亲密伴侣暴力,指导夫妻积极应对的方式和自我调适的策略,促进患者夫妻创伤后成长。
