Status Quo and Influencing Factors of Dyadic Coping in Stroke Patients and Spouses Based on Latent Profile Analysis
Objective To explore the potential categories of dyadic coping in stroke patients and spouses,and to analyze the differences in demographic data and disease-related data of each category,so as to provide reference for medical staff to formulate personalized dyadic coping intervention programs.Methods From April to December 2021,202 couples of stroke patients in the Department of Neurology of a tertiary A general hospital in Zhengzhou were selected as the research objects by convenience sampling method,and investigated by using dyadic coping inventory(DCI)and modified Rankin scale(mRS).Potential profiles were used to analyze the potential categories of dyadic coping in stroke patients and spouses,and multiple logistic regression was used to analyze the influencing factors of potential categories.Results The total scores of dyadic coping of stroke patients and their spouse caregivers were(126.50±16.37)and(128.15±17.85),respectively.There were 4 types,namely,couples with high level of coping(24.8％),couples with medium level of coping(51.5％),caregivers with low level of coping(15.3％),patients with low level of coping(8.4％).The 4 potential categories showed statistically significant differences in stroke patients'age,education level,patient prognosis,spouse caregivers'age,education level,co-caregiver,relationship and years of marriage between patients and caregivers(all P＜0.05).Logistic regression analysis showed that the age of the caregiver,the relationship of the couple,and the presence or absence of a co-caregiver were the independent influencing factors of the potential categories of stroke couple binary coping(all P＜0.05).Conclusions There is heterogeneity in dyadic coping in stroke patients and spouse caregivers.Medical staff should pay more attention to the assessment and intervention of dyadic coping of young caregivers,couples with average relationship and stroke couples with joint caregivers.
万方数据
维普
