心理弹性在缺血性脑卒中患者伤残接受度和生活质量关系的中介效应  

Mediating effect of resilience on the relationship between disability acceptance and quality of life in ischemic stroke patients

作　　者：张英 周卫萍[1] 杨英[1] 王竹敏 陈铭 ZHANG Ying;ZHOU Weiping;YANG Ying;WANG Zhumin;CHEN Ming(Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院,上海200092

出　　处：《中国实用神经疾病杂志》2022年第8期985-989,共5页Chinese Journal of Practical Nervous Diseases

基　　金：国家自然科学基金青年项目(编号:81902521)。

摘　　要：目的探讨心理弹性在缺血性脑卒中患者伤残接受度和生活质量关系的中介效应。方法纳入2018-03—2022-01上海交通大学医学院附属新华医院收治的415例缺血性脑卒中患者,采用一般信息调查问卷、心理弹性量表(CD-RISC)、汉化伤残接受度量表(ADS)、脑卒中专用生活质量量表(SSQOL)收集患者临床资料,评估患者心理弹性、伤残接受度以及生活质量。多重线性回归分析心理弹性在缺血性脑卒中患者伤残接受度与生活质量之间的中介效应。结果共发放415份问卷,有效回收402份,有效回收率为96.87%。缺血性脑卒中复发患者CD-RISC总分[(60.51±7.09)分]与ADS总分[(87.13±9.98)分]、SSQOL总分[(149.28±56.95)分]呈正相关(P<0.05),ADS总分与SSQOL总分呈正相关(P<0.05)。多重线性回归分析ADS总分对SSQOL总分有正向预测作用(β=0.507,P<0.05),加入CD-RISC总分后,ADS总分对SSQOL总分的效应较少(0.507变为0.486)。结论心理弹性部分中介缺血性脑卒中患者伤残接受度对生活质量的影响,增强患者心理弹性、提高伤残接受度有助于提高患者生活质量。Objective To investigate the mediating effect of resilience on the relationship between disabili⁃ty acceptance and quality of life in patients with ischemic stroke.Methods Totally 415 patients with ischemic stroke admitted to Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine from March 2018 to January 2022 were selected.The clinical data,resilience,disability acceptance and quality of life of the patients were collected by general information questionnaire,Connor-Davidson resilience scale(CD-RISC),acceptance of disability scale(ADS)and stroke specific quality of life scale(SSQOL).Multiple linear regression analyzed the mediating effect of resilience on disability acceptance and quality of life in patients with ischemic stroke.Results A total of 415 questionnaires were sent out,and 402 were effectively received with effective recovery rate of 96.87%.The total CD-RISC score(60.51±7.09)points was positively correlated with the total ADS score(87.13±9.98)points and the total SSQOL score(149.28±56.95)points(P<0.05),and the total ADS score was positively correlated with the total SSQOL score(P<0.05).Multiple linear regression analysis showed that ADS total score had a positive prediction effect on SSQOL total score(β=0.507,P<0.05).After adding CD-RISC total score,ADS total score had less effect on SSQOL total score(β0.507 to 0.486).These results suggest that resilience has a par⁃tial mediating effect on disability acceptance and quality of life in patients with ischemic stroke.Conclusion Re⁃silience partially mediates the influence of disability acceptance on quality of life in patients with ischemic stroke.Enhancing resilience and improving disability acceptance can improve the quality of life of patients.

关 键 词：缺血性脑卒中 心理弹性 伤残接受度 生活质量 中介效应 

分 类 号：R743.3[医药卫生—神经病学与精神病学]