二元应对在脑卒中偏瘫患者配偶照顾负担与负性情绪间的中介效应  

The mediating effect of dual coping between care burden and negative emotions in spouses of stroke patients with hemiplegia

作　　者：王云龙 刘玉敬 于颖 郭宗海 成杰 张红梅 朱军 刘萍萍 徐斌[4] Wang Yunlong;Liu Yujing;Yu Ying;Guo Zonghai;Cheng Jie;Zhang Hongmei;Zhu Jun;Liu Pingping;Xu bin(Department of Neurosurgery,North China University of Science and Technology Affiliated Hospital,Tangshan 063000,China)

机构地区：[1]华北理工大学附属医院神经外科,河北唐山063000 [2]华北理工大学附属医院普通外科,河北唐山063000 [3]华北理工大学附属医院神经内科,河北唐山063000 [4]开滦总医院内分泌科

出　　处：《护理学杂志》2023年第24期19-22,36,共5页Journal of Nursing Science

基　　金：河北省卫生健康委员会课题(20191129 20221544)。

摘　　要：目的 探讨二元应对在脑卒中偏瘫患者配偶照顾负担与负性情绪间的中介作用,为提高配偶身心健康提供参考。方法 采用便利抽样方法选取311名脑卒中偏瘫患者配偶为研究对象,使用一般情况调查表、照顾负担量表、二元应对量表、焦虑自评量表、抑郁自评量表进行调查。结果 脑卒中偏瘫患者配偶照顾负担得分(59.49±13.90)分,二元应对得分(86.03±16.62)分,焦虑得分(54.75±6.14)分,抑郁得分(49.73±7.93)分。二元应对在配偶照顾负担与焦虑、抑郁间起部分中介作用,中介效应分别占总效应的50.21%和47.27%。结论 二元应对是脑卒中偏瘫患者配偶照顾负担与负性情绪的中介变量。医护人员应尝试构建二元应对干预方案,提高脑卒中偏瘫患者配偶的二元应对水平,减轻其照顾负担,改善负性情绪。Objective To explore the mediating effect of dual coping between care burden and negative emotions in spouses of stroke patients with hemiplegia,so as to provide a reference for improving spouses′ physical and mental health.Methods A total of 311 spouses of stroke patients with hemiplegia were selected by using convenience sampling method,then they were investigated by utilizing a general information questionnaire,the Zarit Caregiver Burden Interview(ZBI),the Dyadic Coping Inventory(DCI),the Self-rating Anxiety Scale(SAS) and the Self-rating Depression Scale(SDS).Results The participants′ score of ZBI was(59.49±13.90),DCI was(86.03±16.62),SAS was(54.75±6.14),and SDS was(49.73±7.93).Dyadic coping played partial mediating effects between spouse care burden and anxiety and depression,and the mediating effect accounted for 50.21% and 47.27% of the total effect,respectively.Conclusion Dyadic coping is a mediating variable between care burden and negative emotions in spouses of stroke patients with hemiplegia.Medical staff should try to construct a dual coping intervention program to improve the dual coping level of spouses of hemiplegic stroke patients,reduce their care burden,and improve their negative emotions.

关 键 词：脑卒中 偏瘫 照顾负担 二元应对 负性情绪 焦虑 抑郁 中介效应 

分 类 号：R473.74[医药卫生—护理学]