脑卒中患者与其照顾者心理健康素养的相关性研究

背景　在应对疾病的过程中，脑卒中患者与其照顾者作为一个二元整体均面临着心理健康问题。心理健康素养水平的提高有助于心理健康，而目前缺乏脑卒中患者与其照顾者心理健康素养关系的现状及相关性调查。目的　探讨脑卒中患者与其照顾者心理健康素养的相关性，为制定相应的干预措施提供依据。方法　2020年7-10月，采取便利抽样的方法，在河南省3所医院抽取脑卒中患者及其照顾者共580对，采用多元心理健康素养量表对患者及其照顾者心理健康素养情况进行调查，分析两者的相关性。结果　发放问卷580份，回收有效问卷558份，有效回收率为96.2%。脑卒中患者心理健康素养总得分为8（8）分，脑卒中患者心理健康知识、信念和资源维度得分分别为4（4）、4（4）、0（1）分；脑卒中患者照顾者心理健康素养总得分为8（8）分，脑卒中患者照顾者心理健康知识、信念和资源维度得分分别为4（4）、3（3）、0（2）分。脑卒中患者心理健康素养水平与其照顾者心理健康素养水平呈正相关（rs=0.715，P<0.001）。结论　脑卒中患者及其照顾者心理健康素养均处于低水平且二者呈正相关，护士在进行健康教育时，应注重对脑卒中患者及其照顾者的同步教育，以期达到双方相互促进，共同提高心理健康素养的目的。

Correlation of Mental Health Literacy between Stroke Patients and Their Caregivers

Background　As a whole，both stroke patients and their caregivers face mental health problems during treatment. Improving mental health literacy is conducive to mental health，but there is a lack of investigations on the status and relationship regarding mental health literacy in stroke patients and their caregivers. Objective　To explore the correlation of mental health literacy between stroke patients and their caregivers，providing a basis for formulating corresponding interventions. Methods　This investigation was conducted between July and October 2020 with 580 stroke patient-caregiver pairs selected using convenience sampling from three hospitals of Henan Province using the Chinese version of the Multicomponent Mental Health Literacy Measure（MMHLM-C）. The correlation of mental health literacy between patients and their caregivers was analyzed. Results　In all，558 patient-caregiver pairs（96.2%） who returned responsive questionnaires were included for final analysis. The total score of the MMHLM-C and subscale scores of knowledge-oriented，beliefs-oriented，and resource-oriented mental health literacy were 8（8），4（4），4（4），0（1），respectively for stroke patients，and were 8（8），4（4），3（3），0（2），respectively，for caregivers. The mental health literacy level of stroke patients was positively correlated with that of caregivers（rs=0.715，P<0.001）. Conclusion　The mental health literacy was low in both stroke patients and their caregivers，and was positively correlated. So nurses should pay attention to give health education to both stroke patients and their caregivers simultaneously to achieve mutual promotion to improve their mental health literacy.