| 刘如萍,周雅玲,陈清花.中青年脑卒中患者家庭功能和创伤后成长的关系：心理弹性的中介效应分析[J].,2025,(18):2988-2995 |
| 中青年脑卒中患者家庭功能和创伤后成长的关系：心理弹性的中介效应分析 |
| Relationship between Family Function and Post-Traumatic Growth in Young and Middle-Aged Stroke Patients: An Analysis of the Mediating Effect of Psychological Resilience |
| 投稿时间：2025-04-19 |
| DOI：10.13241/j.cnki.pmb.2025.18.015 |
| 中文关键词: 脑卒中 家庭功能 心理弹性 创伤后成长 中介效应 中青年 |
| 英文关键词: Stroke Family function Psychological resilience Post-traumatic growth Mediating effect Young and middle-aged |
| 基金项目:厦门市医疗卫生指导性项目（3502Z20199005） |
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| 中文摘要: |
| 摘要 目的：探究心理弹性在中青年脑卒中患者家庭功能与创伤后成长之间的中介效应，为制定针对性干预策略提供理论依据。方法：本研究为前瞻性研究，采用便利抽样法选取于2023年2月至2024年8月我院收治的80例中青年脑卒中患者。运用自制问卷收集患者的一般资料，采用心理弹性量表（Connor-Davidson resilience scale, CD-RISC）、家庭关怀度指数问卷（family care index questionnaire, APGAR）、创伤后成长评定量表（post-traumatic growth inventory, PTGI）分别测量心理弹性、家庭功能及创伤后成长水平。通过Person相关分析家庭功能、创伤后成长和心理弹性的相关性。构建家庭功能和创伤后成长的模型检验心理弹性的中介效应，并绘制相关性散点图与中介效应模型图。结果：不同特征患者的家庭功能、心理弹性及创伤后成长得分存在显著差异（P<0.05）。已婚、文化程度较高、日常生活能力轻度依赖、主要照顾者为配偶的患者等特征的家庭功能、心理弹性及创伤后成长得分显著更高（P<0.05）。Pearson相关分析显示家庭功能与心理弹性（r=0.951，P<0.05）呈显著正相关，家庭功能与创伤后成长（r=0.939，P<0.05）呈显著正相关，创伤后成长与心理弹性（r=0.959，P<0.05）呈显著正相关。结构方程模型表明心理弹性在家庭功能与创伤后成长间起部分中介作用，中介效应占总效应的28.42%（95%CI：0.12-0.30）。结论：家庭功能可通过心理弹性间接发挥作用，促进中青年脑卒中患者创伤后成长，临床应重视家庭功能与心理弹性协同干预。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the mediating effect of psychological resilience between family function and post-traumatic growth in young and middle-aged stroke patients, and to provide a theoretical basis for formulating targeted intervention strategies. Methods: This study was a prospective study, a total of 80 young and middle-aged stroke patients admitted in our hospital from February 2023 to August 2024 were selected by the convenient sampling method. The general information of the patients was collected by using a self-made questionnaire, the Connor-Davidson resilience scale (CD-RISC), family care index questionnaire (APGAR) and post-traumatic growth inventory (PTGI) were used to measure psychological resilience, family function and post-traumatic growth levels respectively. The correlations among family function, post-traumatic growth and psychological resilience were analyzed through Person correlation analysis. Construct models of family function and post-traumatic growth to examine the mediating effect of psychological resilience, and the scatter plots of correlations and the mediating effect model diagrams were drawn. Results: There were significant differences in the scores of family function, psychological resilience and post-traumatic growth among patients with different characteristics (P<0.05). The scores of family function, psychological resilience and post-traumatic growth of patients with characteristics such as being married, having a higher educational level, being slightly dependent on daily living skills and having their spouses as the main caregivers were significantly higher (P<0.05). Pearson correlation analysis showed that family function was significantly positively correlated with psychological resilience (r=0.951, P<0.05), family function was significantly positively correlated with post-traumatic growth (r=0.939, P<0.05) and post-traumatic growth was significantly positively correlated with post-traumatic growth (r=0.959, P<0.05). The structural equation model indicates that psychological resilience plays a partial mediating role between family function and post-traumatic growth, with the mediating effect accounting for 28.42% (95%CI: 0.12-0.30) of the total effect. Conclusion: Family function can play an indirect role through psychological resilience to promote post-traumatic growth in young and middle-aged stroke patients, clinically, the collaborative intervention of family function and psychological resilience should be emphasized. |
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