Influence of Family Resilience on Psychological Distress of Stroke Patients and Their Spousal Caregivers:An Analysis Based on Actor-Partner Interdependence Model
Influence of Family Resilience on Psychological Distress of Stroke Patients and Their Spousal Caregivers:An Analysis Based on Actor-Partner Interdependence Model
Objective To explore the influence of family resilience on psychological distress of stroke pa-tients and their spousal caregivers based on the Actor-Partner Interdependence Model(APIM).Methods The convenience sampling method was used to select 381 pairs of stroke patients and their spousal caregiv-ers from four tertiary A hospitals in Henan Province,China.The general information questionnaire,the modified Rankin Scale,the Chinese version of the Family Resilience Questionnaire,and the Kessler Psycho-logical Distress Scale were used for data collection.The effects of family resilience on psychological distress in stroke patients and their spousal caregivers were analyzed with APIM.Results The incidence of psycho-logical distress in stroke patients was 58.30％,higher than that in spousal caregivers,48.60％(P＜0.05).The family resilience and psychological distress of patients were positively correlated with those of their spousal caregivers(P＜0.01).The family resilience of the spousal caregivers was negatively correlated with patients'psychological distress(P＜0.01).Regarding the actors'effects,the family resilience of both stroke patients and spousal caregivers had a significant impact on their own psychological distress(P＜0.01).Regarding the partners'effects,the family resilience of both parties had a significant impact on the psychological distress of the other party(P＜0.05).Conclusions The family resilience of stroke patients and their spousal caregivers interacts with their psychological distress,and the two should be considered as a whole to first intervene in their family resilience to reduce their psychological distress.
关键词
脑卒中/配偶照顾者/家庭韧性/心理困扰/主客体互倚模型
Key words
stroke/spousal caregivers/family resilience/psychological distress/Actor-Partner Interdependence Model
维普
万方数据