首页|认知评价和应对方式在中青年脑卒中患者领悟社会支持与心理社会适应水平的中介效应

认知评价和应对方式在中青年脑卒中患者领悟社会支持与心理社会适应水平的中介效应

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目的 探讨认知评价和应对方式在中青年脑卒中患者领悟社会支持与心理社会适应水平的中介效应.方法 本研究选取 2023 年 2 月—12 月在潍坊市某三级医院住院的中青年脑卒中患者 258 例为研究对象,采用疾病心理社会适应问卷、健康认知评价量表、医学应对方式问卷、领悟社会支持量表进行调查.结果 认知评价与应对方式在领悟社会支持与心理社会适应水平之间起链式中介作用,中介效应占比为 5.32%.领悟社会支持对心理社会适应水平的总效应为 0.752,领悟社会支持对心理社会适应水平的总直接效应和间接效应分别为 0.569 和 0.183,间接效应占总效应的 24.34%.结论 领悟社会支持对心理社会适应有直接效应,领悟社会支持通过认知评价、应对方式对心理社会适应水平发挥间接效应且认知评价和应对方式发挥链式中介效应.
The mediating effect of cognitive evaluation and coping style between the perceived social support and psychosocial adaptation level of young and middle-aged stroke patients
Objective To explore the mediating effects of cognitive evaluation and coping style between the perceived social support and psychosocial adaptation level of young and middle-aged stroke patients.Method This study selected 258 young and middle-aged stroke patients who were hospitalized in a tertiary hospital in Shouguang City from February to December 2023 as the research objects,and conducted surveys using the Psychosocial Adjustment to Illness Scale,the Health-related Cognitive Appraisal Scale,the Medical Coping Modes Questionnaire,and the Perceived Social Support Scale.Results Cognitive evaluation and coping style play a chain mediating role between perceived social support and psychosocial adaptation level,and the proportion of the mediating effect is 5.32%.The total effect of perceived social support on psychosocial adaptation level is 0.752.The total direct effect and indirect effect of perceived social support on psychosocial adaptation level are 0.569 and 0.183 respectively,and the indirect effect accounts for 24.34%of the total effect.Conclusion Perceived socical support has a direct effect on psychosocial adaptation,and perceived social support exerts an indirect effect on the psychosocial adaptation level through cognitive evaluation and coping style,and cognitive evaluation and coping style play a chained mediating effect.

Young and middle-agedStrokePsychosocial adaptation

耿智慧、姜云霞、刘婷、杨晓媛

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青岛大学护理学院,青岛 266100

寿光市人民医院神经外科,寿光 262700

中青年 脑卒中 心理社会适应

2024

济宁医学院学报
济宁医学院

济宁医学院学报

影响因子:0.513
ISSN:1000-9760
年,卷(期):2024.47(6)