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老年脑梗死照顾者负担与应对方式的关系:心理韧性的中介作用

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目的 分析老年脑梗死照顾者负担、心理韧性及应对方式的相关关系.方法 采用横断面调查法,使用照顾者负担问卷、心理韧性问卷及应对方式问卷便利抽取2017年5月至2018年5月在平煤神马集团总医院就诊的122例老年脑梗死患者照顾者进行问卷调查.结果 老年脑梗死照顾者负担得分为(48.34±8.22)分,心理韧性得分为(31.26± 7.98)分.应对方式得分中,积极应对方式得分为(1.88±0.46)分、消极应对方式条目均分为(2.03±0.42)分.相关分析显示,老年脑梗死照顾者负担与消极应对呈正相关,而与积极应对及心理韧性之间呈负相关关系(P<0.05);照顾者心理韧性与积极应对呈正相关,与消极应对呈负相关(P<0.05).结构方程模型结果显示,老年脑梗死照顾者心理韧性在照顾者负担和消极应对之间、照顾者负担和积极应对之间均起部分中介作用,中介效应各占26.57%、37.50%.结论 降低老年脑梗死照顾者负担,提高其心理韧性水平,均有利于改善其应对方式,提高照顾质量及照顾者身心健康水平.
Relationship Between Caregiver Burden and Coping Style in Elderly Patients with Cerebral Infarction:the Mediating Role of Resilience
Objective To analyze the relationship among the burden,mental toughness and coping style of elderly cerebral infarction caregivers.Methods A cross-sectional survey was used to conveniently select 122 caregivers of elderly cerebral infarction patients in Pingmei Shenma Group General Hospital from May 2017 to May 2018 by using the caregiver burden questionnaire,mental toughness questionnaire and coping style questionnaire.Results The score of nursing burden and mental toughness were(48.34±8.22)and(31.26±7.98)respectively.Among the coping style scores,positive coping style scores were(1.88±0.46)points and negative coping style scores were(2.03±0.42)points.Correlation analysis showed that the caregiver burden of elderly cerebral infarction was positively correlated with negative coping,but negatively correlated with positive coping and mental toughness(P<0.05).The mental toughness of caregivers was positively correlated with positive coping and negatively correlated with negative coping(P<0.05).The results of structural equation model showed that the mental toughness of the elderly cerebral infarction caregivers played a partial mediating role between caregiver burden and negative coping,and between caregiver burden and positive coping,with the mediating effect accounting for 26.57%and 37.50%respectively.Conclusion Reducing the burden of elderly caregivers with cerebral infarction and improving their mental toughness are beneficial to improve their coping style,care quality and physical and mental health level of caregivers.

cerebral infarctionthe agedcaregiver burdenmental toughnesscoping style

潘晓丽、李娜

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平煤神马集团总医院神经内科,河南平顶山 467000

脑梗死 老年人 照顾者负担 心理韧性 应对方式

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(7)
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