抑郁情绪在脑卒中患者家庭功能与其健康行为间的中介效应

目的 探讨家庭功能对脑卒中患者健康行为的影响以及抑郁情绪的中介效应.方法 便利抽样法选取2011年9月至2012年4月在广州市某三级甲等医院神经内科门诊复诊的脑卒中患者101例,采用HPLPⅡ、FAD、SDS对患者进行问卷调查,并对调查结果进行分析.结果 脑卒中患者健康行为总均分为（2.27±0.36）分,家庭功能总均分为（2.18±0.25）分,抑郁总租分（37.39±7.94）分,高于国内常模,抑郁发生率为29.5％.脑卒中患者健康行为、家庭功能、抑郁情绪之间存在相关性.抑郁在家庭功能的问题解决维度与健康行为之间发挥完全中介效应,在情感介入、角色功能维度与健康行为之间不发挥中介效应,在家庭功能沟通、情感反应、行为控制与健康行为之间发挥部分中介效应,中介效应占总效应的比分别为32.1％、37.4％和26.1％.结论 对脑卒中患者的家庭功能干预可以提升患者健康行为水平及改善患者的抑郁情绪.

The mediating effects of depression between family function and health behaviors among stroke patients

Objective To explore the influence of family function on health behaviors of stroke patients and the mediating effects of depression.Methods From September 2011 to April 2012,101 stroke survivors from a certain hospital in Guangzhou were investigated with Health Promoting Lifestyle Profile Ⅱ （HPLP Ⅱ）,Family Assessment Device （FAD） and Self-Rating Depression Scale （SDS）.Results The mean score of overall health behavior was （2.27±0.36）.The mean score of overall family function was （2.18±0.25）.The score of overall depression was （37.39±7.94）,which was higher than normal people.And the incidence of the stroke survivors＇ depression state was 29.5%.There was a correlation between family function,depression and health behavior.The depression totally mediated the influence of problem solving on health behaviors.The depression partially mediated the influence of communication,affective responsiveness,behavior control on health behaviors,and their mediating effects were 32.1%,37.4%,26.1%.Conclusions The promotion of family function and the reducing of depression can be regarded as the in-tervention to improve their health behavior.