首页|家庭支持对脑卒中患者主观幸福感的影响及作用机制

家庭支持对脑卒中患者主观幸福感的影响及作用机制

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目的 探讨家庭支持对脑卒中患者主观幸福感的影响,并考察自我效能感和日常感知歧视在其中的作用.方法 采用方便抽样法,于2022年2月7日—2023年2月7日选取3家三级医院神经内科病房的278位住院脑卒中患者为研究对象.采用家庭支持问卷、一般自我效能感量表、日常感知歧视问卷和纽芬兰纪念大学幸福度量表对患者进行问卷调查,并对数据进行统计分析.结果 不同特征脑卒中患者纽芬兰纪念大学幸福度量表得分比较,婚姻状况、居住地、照顾者、自理能力不同的患者纽芬兰纪念大学幸福度量表得分的差异均有统计学意义(P<0.05).相关分析表明,患者家庭支持、自我效能感、日常感知歧视以及主观幸福感两两之间均呈显著正相关(P<0.05).家庭支持对脑卒中患者主观幸福感的直接作用显著(效应值为0.828).自我效能感和日常感知歧视在家庭支持与主观幸福感的关系中起部分中介作用,中介效应值为0.527,占家庭支持对主观幸福感总效应(1.355)的38.89%.具体而言,自我效能感在其中的中介效应值为0.145,日常感知歧视在其中的中介效应值为0.323,自我效能感和日常感知歧视在其中的链式中介效应值为0.059.结论 家庭支持是脑卒中患者主观幸福感的预测因素,并通过自我效能感和日常感知歧视间接发挥作用.
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.

StrokeFamily supportWell-beingSelf-efficacyPerceived discriminationMediation

樊君颖、滕海霞、孙羽、徐焕利、郭玉芳

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山东大学护理与康复学院,济南 250012

济南市第五人民医院肿瘤血液科,济南 250022

山东大学齐鲁医院国际医疗部,济南 250012

脑卒中 家庭支持 幸福感 自我效能 感知歧视 中介

山东省社会科学规划研究项目

23CSHJ13

2024

保健医学研究与实践
西南大学

保健医学研究与实践

CSTPCD
影响因子:0.512
ISSN:1673-873X
年,卷(期):2024.21(4)
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