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心理一致感在脑卒中患者主要照顾者照顾负担与抑郁间的中介效应研究
引用本文:朱义如1,刘延锦2,郭丽娜1,郭园丽1,高欢欢2,王敏2,魏苗1. 心理一致感在脑卒中患者主要照顾者照顾负担与抑郁间的中介效应研究[J]. 现代预防医学, 2020, 0(7): 1258-1261
作者姓名:朱义如1  刘延锦2  郭丽娜1  郭园丽1  高欢欢2  王敏2  魏苗1
作者单位:1.郑州大学第一附属医院神经内科,河南 郑州 450052;2.郑州大学第一附属医院护理部,河南 郑州 450052
摘    要:目的 探讨心理一致感在主要照顾者照顾负担与抑郁间的中介作用,为提高主要照顾者身心健康提供理论参考。方法 用便利抽样方法抽取某三甲医院神经内科的脑卒中患者主要照顾者,使用一般情况调查表、照顾负担量表、心理一致感量表和流调中心抑郁量表进行调查。采用SPSS 21.0与AMOS 22.0对数据进行统计分析。结果 回收有效问卷436份,有效回收率为96.88%。主要照顾者照顾负担得分为36.50±7.49分、心理一致感得分为63.15±8.46分、抑郁得分为14.03±6.77分。心理一致感与照顾负担、抑郁得分均呈负相关(r=-0.642、-0.592,P<0.01);照顾负担与抑郁得分呈正相关(r=0.625,P<0.01)。Bootstrap 法进一步验证了心理一致感的中介效应,中介效应占总效应的16.6%。结论 心理一致感是脑卒中患者主要照顾者照顾负担与抑郁间的中介变量。

关 键 词:脑卒中患者主要照顾者  心理一致感  照顾负担  抑郁  中介作用

Intermediary role of sense of coherence between care burden and depression among the main caregivers of stroke patients
ZHU Yi-ru,LIU Yan-jin,GUO Li-na,[MZ)]GUO Yuan-li,GAO Huan-huan,WANG Min,WEI Miao. Intermediary role of sense of coherence between care burden and depression among the main caregivers of stroke patients[J]. Modern Preventive Medicine, 2020, 0(7): 1258-1261
Authors:ZHU Yi-ru  LIU Yan-jin  GUO Li-na  [MZ)]GUO Yuan-li  GAO Huan-huan  WANG Min  WEI Miao
Affiliation:*Department of Neurology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan 450052, China
Abstract:To explore the mediating effect of sense of coherence between care burden and depression, and to provide a theoretical reference for improving the physical and mental health of the main caregivers. Methods The main caregivers of stroke patients in neurology department of a grade three and class A hospital were selected through convenience sampling method. The general condition questionnaire, Zarit Caregiver Burden Interview, Sense of Coherence Scale and Depression Scale were used for investigation. SPSS21.0 and AMOS22.0 were used for data analysis. Results 436 valid questionnaires were collected with an effective recovery rate of 96.88%. The scores of care burden(36.50±7.49), sense of coherence(63.15±8.46), and depression(14.03±6.77) among these main caregivers presented a linear relationship. The sense of coherence score was negatively correlated with the care burden score and the depression(r=-0.642,-0.592, respectively, P(0.01). The care burden score was positively associated with the depression score(r=0.625, P(0.01). Bootstrap was used to further verify the intermediary role of sense of coherence, accounting for 16.6% of the total effect. Conclusion Sense of coherence plays an intermediary role between the burden of care and depression in the main caregivers of stroke patients.
Keywords:The main caregivers of stroke patients  Care burden  Sense of coherence  Depression  Mediation effect
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