首页|自我效能和家庭功能对脑卒中患者睡眠质量和负性情绪的链式中介作用研究

自我效能和家庭功能对脑卒中患者睡眠质量和负性情绪的链式中介作用研究

扫码查看
目的 探讨自我效能和家庭功能对脑卒中患者睡眠质量和负性情绪的影响及链式中介作用.方法 采取随机抽样的方法选取2023年7月—2024年2月桂林医学院第二附属医院收治的300例脑卒中患者作为研究对象,使用家庭功能评估量表、一般自我效能感量表、激惹、抑郁及焦虑自评量表和匹兹堡睡眠质量指数量表进行问卷调查.采用PROCESS进行中介效应检验.结果 家庭功能对睡眠质量的直接效应显著,差异有统计学意义(P<0.05).自我效能在家庭功能与睡眠质量之间的中介效应、负性情绪在家庭功能与睡眠质量之间的中介效应均显著,差异有统计学意义(P均<0.05).自我效能和负性情绪在家庭功能和睡眠质量之间的链式中介效应显著,差异有统计学意义(P<0.05).结论 家庭功能可直接影响脑卒中患者的睡眠质量,且既可通过自我效能和负性情绪的中介作用,也可通过两者的链式中介作用影响的患者的睡眠质量.
Study on the Chain-mediated Role of Self-efficacy and Family Function-ing on Sleep Quality and Negative Emotions in Stroke Patients
Objective To explore the effects of self-efficacy and family functioning on sleep quality and negative emo-tions in stroke patients and the chain-mediated role.Methods A total of 300 stroke patients admitted to the Second Affiliated Hospital of Guilin Medical College from July 2023 to February 2024 were selected as study subjects by ran-dom sampling method.Questionnaires were administered using the Family Assessment Device,the General Self-efficacy Scale,Irritability,Depression and Anxiety Scale,and the Pittsburgh Sleep Quality Index Scale.PROCESS was used for mediation effect tests.Results The direct effect of family functioning on sleep quality was significant,and the difference was statistically significant(P<0.05).The mediating effect of self-efficacy between family functioning and sleep quality and the mediating effect of negative emotions between family functioning and sleep quality were signifi-cant,and the differences were statistically significant(both P<0.05).The chain-mediated effects of self-efficacy and negative mood between family functioning and sleep quality were significant,and the difference was statistically sig-nificant(P<0.05).Conclusion Family functioning can directly affect the sleep quality of stroke patients,both through the mediating effect of self-efficacy and negative emotions,and through the chain mediating effect of both.

Sleep qualityFamily functioningSelf-efficacyNegative emotionsStrokeChain-mediated role

范先英、于海、陈日超、雷蔚、杨灵红、黄宝华

展开 >

桂林医学院第二附属医院全科医疗科,广西桂林 541100

睡眠质量 家庭功能 自我效能 负性情绪 脑卒中 链式中介作用

广西壮族自治区卫生健康委自筹经费科研课题

Z-C20231020

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(8)