Influence of family support on the subjective well-being of stroke patients and its mechanisms
Objective To investigate the effect of family support on the subjective well-being of stroke patients and examine the roles of self-efficacy and perceived everyday discrimination.Methods From February 7,2022,to February 7,2023,278 hospitalized stroke patients from the neurology departments of three tertiary hospitals were selected using convenient sampling.They were surveyed using the Family Support Questionnaire,General Self-Efficacy Scale,Everyday Discrimina-tion Scale,and Newfoundland Memorial University Happiness Scale.Statistical analysis was performed on the data.Results The Newfoundland Memorial University Happiness Scale scores differed significantly among stroke patients with different marital statuses,places of residence,caregivers,and self-care abilities (P<0.05).Correlation analysis showed significant positive correlations among family support,self-efficacy,perceived everyday discrimination,and subjective well-being (P<0.05).Family support had a significant direct effect on subjective well-being (effect size=0.828).Self-efficacy and per-ceived everyday discrimination partially mediated the relationship between family support and subjective well-being,with a mediation effect size of 0.527,accounting for 38.89% of the overall effect of family support on subjective well-being (1.355).Specifically,the mediation effect size of self-efficacy was 0.145,that of perceived everyday discrimination was 0.323,and the chain mediation effect size of self-efficacy and perceived everyday discrimination was 0.059.Conclusion Family support acts as a predictor of subjective well-being in stroke patients,and it exerts its influence indirectly through self-efficacy and perceived everyday discrimination.