| 摘要: |
| 目的 探讨脑卒中患者生活质量现状及影响因素,分析疾病感知在家庭健康和生活质量间的中介效应。方法 2023 年 5-6 月,采用便利抽样法,选取我院脑血管病中心收治的 191 例脑卒中患者作为研究对象。分别采用一般资料调查表、欧洲五维健康量表、中文版家庭健康量表、简化版疾病感知问卷调查患者的一般情况、生活质量、家庭健康和疾病感知水平。采用多元线性回归分析探究脑卒中患者生活质量的影响因素,采用 Pearson 相关分析探讨家庭健康、疾病感知与生活质量的相关性,采用 SPSS 25.0 软件宏程序 Process 的 Model4 进行中介模型检验。结果 脑卒中患者生活质量评分为(0.72±0.31)分,家庭健康得分为(36.73±6.75)分,疾病感知得分为(49.99±13.17)分。家庭健康与生活质量呈正相关、与疾病感知呈负相关,生活质量与疾病感知呈负相关。多元线性回归结果显示,年龄、职业、婚姻状况、兄弟姐妹数量、家庭健康、疾病感知 6 个因素是脑卒中患者生活质量的影响因素,共同解释总变异的 47.9 %。中介模型检验结果显示,疾病感知在家庭健康与生活质量之间起部分中介作用。结论 脑卒中患者生活质量处于一般水平,疾病感知在家庭健康与生活质量之间起中介作用。降低脑卒中患者的疾病消极认知,发挥家庭的协同支持作用,可能有利于提升患者生活质量。 |
| 关键词: 脑卒中 家庭健康 生活质量 疾病感知 中介效应 护理 |
| DOI：10.16781/j.CN31-2187/R.20230768 |
| 投稿时间：2023-12-26修订日期：2024-03-17 |
| 基金项目:中国脑卒中高危人群干预适宜技术研究及推广项目(GN-2020R0004),海军军医大学(第二军医大学)“深蓝”护理科研项目(2022KYP04). |
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| Relationship between family health and quality of life of stroke patients: a mediating role of disease perception |
| WENG Yanqiu△,CHEN Mengxia△,QIAO Mengting,ZHANG Lingjuan* |
(Department of Clinical Nursing, The First Affiliated Hospital of Naval Medical University(Second Military Medical University), Shanghai 200433, China
△Co-first authors.
*Corresponding author) |
| Abstract: |
| Objective To investigate the status and influencing factors of quality of life of stroke patients, and to analyze the mediating effect of disease perception between family health and quality of life. Methods From May to Jun. 2023, 191 stroke patients who were admitted to Neurovascular Center of our hospital were enrolled by convenience sampling method. General data questionnaire, EuroQol five-dimensional questionnaire, Chinese version of family health scale and brief illness perception questionnaire were used to investigate the general information, quality of life, family health and disease perception, respectively. Multiple linear regression analysis was used to explore the influencing factors of quality of life of stroke patients. Pearson correlation analysis was used to study the relationships between family health, disease perception and quality of life. SPSS 25.0 software macro program Process Model4 was used to conduct mediation model test. Results The quality of life score of the stroke patients was 0.72±0.31, the family health score was 36.73±6.75, and the disease perception score was 49.99±13.17. Family health was positively correlated with quality of life and was negatively correlated with disease perception, and quality of life was negatively correlated with disease perception. The results of multiple linear regression showed that age, occupation, marital status, number of siblings, family health, and disease perception were the influencing factors of quality of life of stroke patients, and together accounted for 47.9 % of the variation. The results of mediation model test showed that disease perception played a partial mediating role between family health and quality of life. Conclusion The quality of life of stroke patients is at a general level, and disease perception plays a mediating role between family health and quality of life. Reducing the negative disease cognition of stroke patients and giving play to the collaborative support of family might be conducive to improving their quality of life. |
| Key words: stoke family health quality of life disease perception mediating effect nursing |
