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创伤后成长在首发脑卒中患者照顾者家庭抗逆力及照顾负担中的中介效应

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目的 探讨创伤后成长在首发脑卒中患者照顾者家庭抗逆力与照顾负担间的中介效应。方法 采用便利抽样法,选取2022年3-10月在青岛大学附属医院神经内科收治的253例首发脑卒中患者的照顾者,应用一般资料调查表、中文版家庭抗逆力评估问卷(FRAS-C)、创伤后成长量表(PTGI)、Zarit照顾负担量表(ZBI)进行问卷调查,采用Amos 24。0构建结构方程模型并进行中介效应检验。结果 患者照顾者FRAS-C总分为(95。17±9。87)分,PTGI总分为(58。39±14。91)分,ZBI总分为27。00(18。00,35。00)分;家庭抗逆力与创伤后成长呈正相关(r=0。346,P<0。001),与照顾负担呈负相关(r=-0。247,P<0。001),创伤后成长与照顾负担呈负相关(r=-0。236,P<0。001);结构方程模型显示:创伤后成长在首发脑卒中患者照顾者家庭抗逆力和照顾负担间起部分中介作用,中介效应值为-0。077,占总效应的21。27%。结论 首发脑卒中患者照顾者家庭抗逆力处于中等水平,创伤后成长在首发脑卒中患者照顾者家庭抗逆力和照顾负担间起部分中介作用。医护工作者可通过提高照顾者家庭抗逆力和创伤后成长水平,以此降低照顾者照顾负担水平。
Mediating effects of post-traumatic growth between family resilience and care burden among caregivers of patients with first stroke
Objective To explore the mediating effects of post-traumatic growth between family resilience and care burden among caregivers of first-stroke patients.Methods With convenience sampling,a total of 253 caregivers of first-stroke patients who were admitted to the Department of Neurology of the Affiliated Hospital of Qingdao Uni-versity from March to October 2022 were selected by the convenient sampling method.The general information ques-tionnaire,Shortened Chinese Version of Family Resilience Assessment Scale(FRAS-C),Post-Traumatic Growth In-ventory(PTGI),and Zarit Burden Interview(ZBI)were used to conduct the questionnaire survey.Amos 24.0 was used to construct structural equation model and verify the mediating effects.Results The total score of FRAS-C,PT-GI and ZBI in caregivers of first-stroke patients were(95.17±9.87)points,(58.39±14.91)points,and 27.00(18.00,35.00)points,respectively.Family resilience of caregivers of first-stroke patients was positively correlated with post-traumatic growth(r=0.346,P<0.001),and negatively correlated with care burden(r=-0.247,P<0.001),post-traumatic growth was negatively correlated with the care burden(r=-0.236,P<0.001).The re-sults of structural equation model showed that post-traumatic growth partially mediates the relationship between family resilience and care burden of caregivers of first-stroke patients,and the intermediary effect value was-0.077,accounting for 21.27%of the total effect.Conclusion The family resilience of caregivers of first-stroke pa-tients is at the lower middle level,and post-traumatic growth plays a partial mediating role between family resilience and care burden among caregivers of first-stroke patients.Medical workers can reduce the level of care burden of car-egivers by improving their family resilience and post-traumatic growth of caregivers.

strokecaregiversfamily resiliencepost-traumatic growthcare burdenmediating effectsnursing

周振峰、姜文彬、刘美艳、薛婷、李笑、姜永梅

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青岛大学护理学院,山东青岛 266071

青岛大学附属医院,山东青岛 266000

脑卒中 照顾者 家庭抗逆力 创伤后成长 照顾负担 中介效应 护理

青岛西海岸新区科技项目

2022-48

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(8)
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