The impact of post-stroke fatigue on self-management behaviors in stroke patients during recovery:a moderated mediation effect
Objective To explore the mediating role of post-traumatic growth between post-stroke fatigue and self-management behaviors in stroke patients during recovery,as well as the moderating effect of caregiver contributions on the relationship between post-stroke fatigue and post-traumatic growth.Methods A convenience sampling method was used to collect data from 329 stroke patients in recovery and their primary caregivers.The study utilized a general information questionnaire,the Fatigue Severity Scale,the Post-Traumatic Growth Inventory,the Caregiver Contribution Scale for Self-Care in Stroke Patients,and the Stroke Self-Management Behavior Assessment Scale.Data analysis was performed using descriptive statistics,variance analysis,and correlation analysis with Mplus 8.3 software,while the PROCESS macro was employed to validate mediation and moderation effects.Results Post-traumatic growth served as a mediator between post-stroke fatigue and self-management behaviors(e=-0.072,95％CI:-0.119 to-0.032),accounting for 18.18％of the total effect.The interaction term between post-stroke fatigue and caregiver contributions positively predicted post-traumatic growth(β=0.095,P＜0.05).Conclusion Healthcare professionals should focus on enhancing the level of post-traumatic growth in stroke patients during recovery and recognize the significant role of caregivers in the recovery process,thereby improving self-management behaviors.
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