首页|脑卒中患者及其配偶家庭韧性对疾病进展恐惧的主客体互倚模型分析

脑卒中患者及其配偶家庭韧性对疾病进展恐惧的主客体互倚模型分析

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目的 基于主客体互倚模型分析脑卒中患者及其配偶家庭韧性对疾病进展恐惧的影响.方法 便利抽取脑卒中患者及其配偶(为患者的主要照顾者)各381例/名,采用一般资料调查表、恐惧疾病进展简化量表、配偶恐惧疾病进展简化量表和中文版家庭韧性问卷进行调查,建立家庭韧性对疾病进展恐惧的主客体互倚模型.结果 脑卒中患者的疾病进展恐惧得分(31.59±10.37)显著高于配偶(29.68±11.24)(P＜0.05).主体效应方面,脑卒中患者及其配偶家庭韧性水平可影响自身的疾病进展恐惧程度(均P＜0.05);客体效应方面,患者的疾病进展恐惧程度受配偶的家庭韧性水平影响(P＜0.05),而配偶疾病进展恐惧程度受患者家庭韧性水平影响(P＜0.05).结论 脑卒中患者及其配偶的疾病进展恐惧程度与两者家庭韧性水平存在交互影响,提示护士可基于二元视角以患者及其配偶的家庭韧性为视角开展干预,从而有效降低双方疾病进展恐惧程度.
Analysis of the subject-object interdependence model of family resilience on the fear of progression in stroke patients and their spousal caregivers
Objective To analysis of the impact of family resilience on the fear of progression in stroke patients and their spousal care-givers based on the subject-object interdependence model.Methods A total of 381 couples of stroke patients and their spouses(main caregivers)were surveyed using the general data questionnaire,Fear of Progression Questionnaire-Short Form(Fop-Q-SF),Fear of Progression Questionnaire-Short Form/Partner Version(FoP-Q-SF/P),and Family Resilience Questionnaire(FaRE).A subject-object interdependence model of resilience's impact on the fear of disease progression was established.Results The fear of progression score of stroke patients(31.59±10.37)was significantly higher than that of spousal caregivers(29.68±11.24)(P＜0.05).In terms of the subjective effect,the family resilience level of stroke patients and their spouses could affect their own fear of progression(P＜0.05 for borh).Regarding the object effect,the patient's fear of progression was affected by the family resilience level in their spouses(P＜0.05),while the spouse's fear of progression was affected by the family resilience level in patients(P＜0.05).Conclusion The levels of fear of progression in stroke patients and their spouses have interactive effects with their family re-silience levels.This suggests that nurses can develop interventions based on the dual perspective of patients and their spouses'family resilience to effectively reduce their fear of progression.

strokespousalcaregiversfamily resiliencefear of progressiondyadic modeldyadic copingthe sub-ject-object interdependence model

张依、梅永霞、刘志薇、张振香、赛一溥、林蓓蕾、陈素艳、李昕、张伟宏

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郑州大学护理与健康学院(河南郑州,450001)

郑州大学第二附属医院

脑卒中 配偶 照顾者 家庭韧性 疾病进展恐惧 二元模型 二元应对 主客体互倚模型

国家自然科学基金中国博士后科学基金面上项目河南省高等学校重点科研项目

720042052019M65258921A320068

2024

10.3870/j.issn.1001-4152.2024.06.078

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子：2.062
ISSN：1001-4152
年,卷(期)：2024.39(6)
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