老年脑卒中患者复发恐惧、家庭弹性和健康促进行为之间的关系和作用路径  

The relationships between fear of recurrence,family resilience,and health-promoting behaviors in elderly stroke patients and the pathways

作　　者：滕兰轩 廖喜琳[2] 黄子津 吕开月 付晶晶 路漪凡 TENG Lanxuan;LIAO Xilin;HUANG Zijin;LYU Kaiyue;FU Jingjing;LU Yifan(Guangxi University of Chinese Medicine,Nanning 530001,Guangxi,China;Traditional Chinese Medicine School Affiliated to Guangxi University of Chinese Medicine,Nanning 530022,Guangxi,China;The First Clinical Medical College of Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]广西中医药大学,南宁市530001 [2]广西中医药大学附设中医学校,南宁市530022 [3]广西医科大学第一临床医学院,南宁市530021

出　　处：《内科》2023年第5期431-434,496,共5页Internal Medicine

基　　金：广西职业教育第一批专业发展研究基地项目《广西职业教育护理专业及专业群建设研究基地》(编号:桂教职成〔2018〕37)。

摘　　要：目的探讨老年脑卒中患者复发恐惧、家庭弹性和健康促进行为之间的关系和作用路径。方法采用便利抽样法,选取250例老年脑卒中患者作为研究对象。采用患者一般情况调查表、健康促进生活方式量表Ⅱ(HPLP-Ⅱ)、恐惧疾病进展简化量表(FoP-Q-SF)、中文版家庭弹性量表简化版(FRAS-C)开展调查。采用Process 3.3插件中的Model 4和Bootstrap程序分析家庭弹性在复发恐惧与健康促进行为间的中介效应。结果老年脑卒中患者HPLP-Ⅱ总分为(105.00±14.14)分,FoP-Q-SF总分为(20.69±6.04)分,FRAS-C总分为(102.57±16.48)分。老年脑卒中患者复发恐惧与健康促进行为、家庭弹性均呈负相关,家庭弹性与健康促进行为呈正相关(均P<0.05)。家庭弹性在复发恐惧与健康促进行为之间起部分中介效应,效应占比为27%。结论老年脑卒中患者健康促进行为水平较低,家庭弹性在老年脑卒中患者复发恐惧与健康促进行为间存在中介效应,复发恐惧既可直接影响老年脑卒中患者的健康促进行为,亦可通过家庭弹性间接影响老年脑卒中患者的健康促进行为。Objective To explore the relationships between fear of recurrence,family resilience,and health-promoting behaviors in elderly stroke patients and the pathways.Methods The convenience sampling method was used to select 250 elderly stroke patients as the research subjects.The survey was conducted using the Patient General Status Questionnaire,Health-Promoting Lifestyle Profile-Ⅱ(HPLP-II),Fear of Progression Questionnaire Short Form(FoP-Q-SF),and Shortened Chinese Version of the Family Resilience Assessment Scale(FRAS-C).The Model 4 and Bootstrap programs in the Process 3.3 plugin were used to analyze the mediation effect of family resilience between fear of recurrence and health-promoting behaviors.Results The total score of HPLP-II was(105.00±14.14),the total score of FoP-Q-SF was(20.69±6.04),and the total score of FRAS-C was(102.57±16.48)in elderly stroke patients.In elderly stroke patients,fear of recurrence was negatively correlated with health-promoting behaviors and family resilience,and family resilience was positively correlated with health-promoting behaviors(all P<0.05).Family resilience had a partial mediation effect between fear of recurrence and health-promoting behaviors,accounting for 27%.Conclusion The level of health-promoting behaviors in elderly stroke patients is relevantly low,family resilience has a mediation effect between fear of recurrence and health-promoting behaviors,and fear of recurrence can not only directly affect the health-promoting behaviors of elderly stroke patients,but also indirectly affect the health-promoting behaviors of elderly stroke patients through family resilience.

关 键 词：脑卒中 复发恐惧 家庭弹性 健康促进行为 老年人 中介效应 

分 类 号：R743.3[医药卫生—神经病学与精神病学]