目的 分析首发脑卒中患者D型人格、无法忍受不确定性和家庭支持的现状，探讨家庭支持在首发脑卒中患者D型人格与无法忍受不确定性间的中介作用，为临床制订相关干预措施，促进首发脑卒中患者身心健康提供参考依据。 方法 本研究为横断面调查研究。采用便利抽样法，选取2023年5—9月宁夏医科大学总医院和银川市第一人民医院神经内科符合纳入、排除标准的308例首发急性期脑卒中住院患者作为研究对象。采用一般资料调查表、D型人格量表、家庭关怀度指数问卷和简版无法忍受不确定性量表对其进行横断面调查。采用Pearson相关分析检验变量间的相关性；中介效应检验采用SPSS插件PROCESS 3.5进行分析。 结果 最终有效回收问卷300份，男228例，女72例，年龄≥60岁的首发脑卒中患者占49.3%（148/300）。首发脑卒中患者D型人格检出率为37.3%（112/300），300例首发脑卒中患者D型人格量表总分、家庭支持总分、无法忍受不确定性总分依次为（22.16 ± 9.95）、（6.40 ± 2.23）、（27.82 ± 7.93）分。相关性分析结果显示，首发脑卒中患者无法忍受不确定性与D型人格得分呈正相关（r=0.675，P<0.001）；与家庭支持得分呈负相关（r=-0.644，P<0.001）。中介效应分析结果显示，家庭支持在首发脑卒中患者D型人格与无法忍受不确定性间起部分中介作用，中介效应占总效应的34.94%。 结论 家庭支持在首发脑卒中患者D型人格与无法忍受不确定性间的中介作用成立，未来可考虑不断提升患者家庭支持水平来降低其无法忍受不确定性，以促进首发脑卒中患者身心健康，提升其生命质量。 Objective To analyze the status quo of type D personality, intolerance of uncertainty and family support in first-episode stroke patients, and to explore the mediating role of family support between type D personality and intolerance of uncertainty in first-episode stroke patients, in order to provide reference for formulating relevant clinical intervention measures to promote the physical and mental health of first-episode stroke patients. Methods This study was a cross-sectional investigation. A total of 300 patients with acute first-episode stroke who met the inclusion and exclusion criteria in the Department of Neurology of the General Hospital of Ningxia Medical University and the First People′s Hospital of Yinchuan from May 2023 to September 2023 were selected as the study objects by convenience sampling method. The general data questionnaire, Type D personality Scale-14, Family Caring Index Scale and the Intolerance of Uncertainty Scale were used to investigate them. Pearson correlation analysis was used to test the correlation between variables, and SPSS plug-in PROCESS 3.5 was used to test the mediation effect. Results Finally, 300 questionnaires were effectively collected, including 228 males and 72 females. Patients aged ≥ 60 years old were the majority, accounting for 49.3% (148/300). The detection rate of type D personality in the first stroke patients was 37.3% (112/300), and the total score of Type D personality inventory, family support and intolerance of uncertainty of type D personality in the first stroke patients were (22.16 ± 9.95), (6.40 ± 2.23), (27.82 ± 7.93) points. The correlation analysis results showed that the intolerance of uncertainty of type D personality in the first stroke patients was positively correlated with type D personality scores (r=0.675, P<0.001). There was a negative correlation with family support score (r=-0.644, P<0.001). The results of mediating effect analysis showed that family support played a partial mediating role in the relationship between type D personality and intolerability of uncertainty in first-stroke patients, and the mediating effect accounted for 34.94% of the total effect. Conclusions The mediating role of family support between type D personality and intolerability of uncertainty in first-stroke patients is established. In the future, the level of family support of patients can be continuously improved to reduce their intolerability of uncertainty, so as to promote the physical and mental health of patients and improve their quality of life.
The mediating role of family support between type D personality and intolerance of uncertainty in first-stroke patients
Objective To analyze the status quo of type D personality, intolerance of uncertainty and family support in first-episode stroke patients, and to explore the mediating role of family support between type D personality and intolerance of uncertainty in first-episode stroke patients, in order to provide reference for formulating relevant clinical intervention measures to promote the physical and mental health of first-episode stroke patients. Methods This study was a cross-sectional investigation. A total of 300 patients with acute first-episode stroke who met the inclusion and exclusion criteria in the Department of Neurology of the General Hospital of Ningxia Medical University and the First People′s Hospital of Yinchuan from May 2023 to September 2023 were selected as the study objects by convenience sampling method. The general data questionnaire, Type D personality Scale-14, Family Caring Index Scale and the Intolerance of Uncertainty Scale were used to investigate them. Pearson correlation analysis was used to test the correlation between variables, and SPSS plug-in PROCESS 3.5 was used to test the mediation effect. Results Finally, 300 questionnaires were effectively collected, including 228 males and 72 females. Patients aged ≥ 60 years old were the majority, accounting for 49.3% (148/300). The detection rate of type D personality in the first stroke patients was 37.3% (112/300), and the total score of Type D personality inventory, family support and intolerance of uncertainty of type D personality in the first stroke patients were (22.16 ± 9.95), (6.40 ± 2.23), (27.82 ± 7.93) points. The correlation analysis results showed that the intolerance of uncertainty of type D personality in the first stroke patients was positively correlated with type D personality scores (r=0.675, P<0.001). There was a negative correlation with family support score (r=-0.644, P<0.001). The results of mediating effect analysis showed that family support played a partial mediating role in the relationship between type D personality and intolerability of uncertainty in first-stroke patients, and the mediating effect accounted for 34.94% of the total effect. Conclusions The mediating role of family support between type D personality and intolerability of uncertainty in first-stroke patients is established. In the future, the level of family support of patients can be continuously improved to reduce their intolerability of uncertainty, so as to promote the physical and mental health of patients and improve their quality of life.
StrokeType D personalityFamily supportIntolerance of uncertaintyMediating effect
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