| 配偶照顾负担对脑卒中偏瘫患者二元应对及配偶二元应对的中介作用 |
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| 引用本文： | 刘玉敬,郭思尧,陈璐,郭宗海,王云龙,成杰,张红梅,朱军,刘萍萍. 配偶照顾负担对脑卒中偏瘫患者二元应对及配偶二元应对的中介作用[J]. 上海护理, 2024, 24(6) |
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| 作者姓名： | 刘玉敬 郭思尧 陈璐 郭宗海 王云龙 成杰 张红梅 朱军 刘萍萍 |
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| 作者单位： | 华北理工大学附属医院神经外科,S华北理工大学护理与康复学院,;S华北理工大学护理与康复学院,S华北理工大学护理与康复学院,;S华北理工大学护理与康复学院,华北理工大学附属医院神经外科,华北理工大学附属医院神经外科,华北理工大学附属医院神经外科,华北理工大学附属医院,S华北理工大学护理与康复学院,;S华北理工大学护理与康复学院,华北理工大学附属医院 |
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| 基金项目： | 河北省卫健委基金(20191129 20221544) |
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| 摘 要： | 目的 调查脑卒中偏瘫患者二元应对水平、配偶二元应对水平以及配偶照顾负担的得分状况,探讨配偶照顾负担对脑卒中偏瘫患者二元应对与配偶二元应对的中介作用。方法 选取311对住院的脑卒中偏瘫患者及其配偶,采用一般资料调查表,二元应对量表(DCI) ,照顾者负担量表(ZBI)进行问卷调查。分析配偶照顾负担在脑卒中偏瘫患者二元应对和配偶二元应对之间的中介效应。结果 脑卒中偏瘫患者二元应对得分为(100.05±19.02)分,配偶二元应对得分为(86.03±16.62)分,配偶照顾负担得分为(59.49±13.90)分。配偶照顾负担与患者二元应对、配偶二元应对均呈负相关( r =－0. 719、r =－0. 790,P＜0. 001),患者二元应对与配偶二元应对呈正相关( r = 0. 840,P＜0. 001)。模型拟合结果显示,配偶照顾负担在脑卒中偏瘫患者二元应对及其配偶二元应对之间起中介作用( β =0.264,P＜0. 001),占总效应的30.14%。结论 脑卒中偏瘫患者二元应对多数处于低水平,脑卒中偏瘫患者二元应对对配偶二元应对有直接预测作用,但受到照顾者负担的中介效应调节,今后可制定针对降低照顾者负担的护理干预措施,以提高患者及配偶的二元应对水平,促进其心理健康。
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| 关 键 词： | 脑卒中 偏瘫 二元应对 照顾负担 |
| 收稿时间： | 2023-06-09 |
| 修稿时间： | 2024-06-02 |
The mediating effect of spouse care burden on dual coping and spouse dual copingin stroke patients with hemiplegia |
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| Liu Yujing,Guo Siyao,Chen Llu,Guo Zonghai,Wang Yunlong,Cheng Jie,Zhang Hongmei,Zhu Jun and Liu Pingping. The mediating effect of spouse care burden on dual coping and spouse dual copingin stroke patients with hemiplegia[J]. Shanghai Nursing Journal, 2024, 24(6) |
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| Authors: | Liu Yujing Guo Siyao Chen Llu Guo Zonghai Wang Yunlong Cheng Jie Zhang Hongmei Zhu Jun Liu Pingping |
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| Affiliation: | Neurosurgery,North China University of Science and Technology Affiliated Hospital,SCollege of Nursing and Rehabilitation,North China University of Science and Technology,SCollege of Nursing and Rehabilitation,North China University of Science and Technology,Neurosurgery,North China University of Science and Technology Affiliated Hospital,Neurosurgery,North China University of Science and Technology Affiliated Hospital,Neurosurgery,North China University of Science and Technology Affiliated Hospital,SGeneral Surgery,North China University of Science and Technology Affiliated Hospital,SCollege of Nursing and Rehabilitation,North China University of Science and Technology, |
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| Abstract: | Objective To investigate the scores of dual coping level, spouse dual coping level and spouse care burden in stroke patients with hemiplegia, and to explore the mediating effect of spouse care burden on dual coping and spouse dual coping in stroke patients with hemiplegia.Methods A total of 311 hospitalized stroke patients with hemiplegia and their spouses were selected for questionnaire survey using general data questionnaire, bivariate Coping scale (DCI) and caregiver Burden Scale (ZBI). To analyze the mediating effect of spouse care burden on dual coping and spouse dual coping in stroke patients with hemiplegia.Results The score of dyadic coping of stroke patients with hemiplegia was (100.05±19.02), the score of spouse dyadic coping was (86.03±16.62), and the score of spouse care burden was (59.49±13.90). The burden of spouse care was negatively correlated with patients dyadic coping and spouses dyadic coping (r = -0.719, r = -0.790, P < 0.001), while patients dyadic coping was positively correlated with spouses dyadic coping (r = 0.840, P < 0.001). The results of model fitting showed that spouse care burden played a mediating role between dyadic coping and dyadic coping of stroke patients with hemiplegia (β=0.264, P<0. 001).Conclusion dual response to most stroke patients with hemiplegia at a lower level, stroke patients with hemiplegia binary response to spouse binary has direct prediction effect, but the intermediary effect to adjust by the caregiver burden, the future can be formulated according to reduce the burden of caregivers of nursing intervention measures, to improve the level of the patient and spouse binary response, promote their psychological health. |
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| Keywords: | Stroke Hemiplegia Dual coping Care burden |
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