脑卒中老年患者快感缺失在自我怜悯与创伤后应激障碍的中介效应  

Medicating Effect of Anhedonia on Self-compassion and Post-traumatic Stress Disorder in Elderly Stroke Patients

作　　者：郭亚娟 刘丽爽 霍娟娟 张慧[1] 王拥军[2] GUO Ya-juan;LIU Li-shuang;HUO Juan-juan;ZHANG Hui;WANG Yong-jun(Neurological Rehabilitation Center,Beijing Rehabilitation Hospital Affiliated to Capital Medical University,Beijing 100144,China;Dept.of Neurology,Beijing Tiantan Hospital Affiliated to Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京康复医院神经康复中心,北京100144 [2]首都医科大学附属北京天坛医院神经内科,北京100070

出　　处：《护理学报》2021年第8期72-76,共5页Journal of Nursing（China）

基　　金：国家自然科学基金(82004431)。

摘　　要：目的探讨脑卒中老年患者躯体快感缺失、社会快感缺失在自我怜悯和创伤后应激障碍之间的中介效应。方法选取我院收治的185例脑卒中老年患者作为研究对象,调查其躯体快感缺失、社会快感缺失、自我怜悯以及创伤后应激障碍得分,采用Pearson相关性检验,分析躯体快感缺失、社会快感缺失、自我怜悯以及创伤后应激障碍相关性,采用结构方程模型分析躯体快感缺失、社会快感缺失在自我怜悯以与创伤后应激障碍之间中介效应。结果 (1)脑卒中老年患者躯体快感缺失(44.29±3.24)分,社会快感缺失(28.57±3.13)分,自我怜悯(84.29±6.45)分,创伤后应激障碍(60.74±6.23)分;(2)脑卒中老年患者躯体快感缺失、社会快感缺失与自我怜悯呈一定负相关(r=-0.452、-0.415,P<0.01),与创伤后应激障碍呈一定正相关(r=0.411、0.382,P<0.01),自我怜悯与创伤后应激障碍呈一定负相关(r=-0.415,P<0.01);(3)脑卒中老年患者躯体和社会快感缺失在脑卒中老年患者自我怜悯与创伤后应激障碍中起中介效应(P<0.05),中介效应分别为-0.082和-0.069,占总效应的13.89%和11.69%。结论脑卒中老年患者自我怜悯水平一般,创伤后应激障碍水平较高,自我怜悯水平越高创伤后应激障碍则越低;躯体快感缺失、社会快感缺失在自我怜悯与创伤后应激障碍中起到一定中介效应。Objective To investigate the correlation among physical anhedonia,social anhedonia,self-compassion and post-traumatic stress disorder in elderly patients with stroke.Methods Totally 185 elderly stroke patients admitted to our hospital were surveyed for information of physical anhedonia,social anhedonia,self-compassion and post-traumatic stress disorder.Pearson correlation analysis was used to analyze their correlation and structural equation model to analyze the mediating effect of physical and social anhedonia on self-compassion and post-traumatic stress disorder.Results The score of physical anhedonia,social anhedonia,selfcompassion and post-traumatic stress disorder was 44.29±3.24,28.57±3.13,84.29±6.45 and 60.74±6.23 respectively in elderly stroke patients.Physical and social anhedonia were negatively correlated with self-compassion(r=-0.452,-0.415,P<0.01)but positively with post-traumatic stress disorder(r=0.411,0.382,P<0.01).Self-compassion was negatively correlated with post-traumatic stress disorder(r=-0.415,P<0.01).Physical and social anhedonia had a mediating effect on self-compassion and post-traumatic stress disorder(P<0.05),with mediating effect of-0.082 and-0.069 respectively,accounting for 13.89%and 11.69%of the total effects.Conclusion Self-compassion in elderly stroke patients is in general level.The higher the level of self-compassion in elderly stroke patients,the lower the post-traumatic stress disorder.Physical anhedonia and anhedonia have a mediating effect on self-compassion and posttraumatic stress disorder.

关 键 词：脑卒中 老年患者 快感缺失 自我怜悯 创伤后应激障碍 中介效应 

分 类 号：R471[医药卫生—护理学]