应对方式在急性缺血性脑卒中患者疾病感知与院前延迟行为意向间的中介效应  

Mediating effect of coping style on disease perception and pre-hospital delayed behavioral intention in patients with acute ischemic stroke

作　　者：王梦迪 陈梦霞 于龙娟 甘丽芬 乔梦婷 张静文 黄小榕 张玲娟 Wang Mengdi;Chen Mengxia;Yu Longjuan;Gan Lifen;Qiao Mengting;Zhang Jingwen;Huang Xiaorong;Zhang Lingjuan(Clinical Nursing Teaching and Research Office,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China;Cerebrovascular Disease Center,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China;Shanghai Geriatric Nursing Management Quality Control Center,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院临床护理教研室,上海200433 [2]海军军医大学第一附属医院脑血管病中心,上海200433 [3]上海市老年护理管理质量控制中心,上海200433

出　　处：《中华现代护理杂志》2024年第14期1846-1851,共6页Chinese Journal of Modern Nursing

基　　金：中国脑卒中高危人群干预适宜技术研究及推广项目(GN-2020R0004);海军军医大学深蓝护理科研PI团队项目(2022KYP04)。

摘　　要：目的探讨应对方式在急性缺血性脑卒中患者疾病感知与院前延迟行为意向间的中介效应。方法本研究为横断面研究。采用便利抽样法,选取2023年2—7月海军军医大学第一附属医院收治的205例急性缺血性脑卒中患者为研究对象,应用一般资料调查表、脑卒中院前延迟行为意向量表、简易疾病感知量表、简易应对方式量表进行调查。结果本次填写问卷205份,有效问卷195份,问卷有效率为95.1%。急性缺血性脑卒中患者的院前延迟行为意向得分为(63.61±16.12)分;急性缺血性脑卒中患者院前延迟行为意向与疾病感知、消极应对呈正相关(r=0.360、0.266,P均<0.01),与积极应对呈负相关(r=-0.279,P<0.01);积极应对与消极应对在缺血性脑卒中患者疾病感知与院前延迟行为意向间的中介效应值为0.111、0.097,占总效应的26.89%、23.49%。结论应对方式在缺血性脑卒中患者疾病感知与院前延迟行为意向间存在部分中介作用。因此,在脑卒中疾病管理过程中,医务人员可通过改善疾病认知和应对方式,降低患者院前延迟行为意向。Objective To explore the mediating effect of coping style on disease perception and pre-hospital delayed behavioral intention in patients with acute ischemic stroke.Methods This study was a cross-sectional study.From February to July 2023,convenience sampling was used to select 205 patients with acute ischemic stroke admitted to the First Affiliated Hospital of Naval Medical University as the study subject.The survey was conducted using the General Information Questionnaire,Stroke Pre-Hospital Delay Behavior Intention,Brief Illness Perception Questionnaire,and Simplified Coping Style Questionnaire.Results 205 questionnaires were filled out,195 valid questionnaires,and the validity rate of the questionnaire was 95.1%.The Stroke Pre-Hospital Delay Behavior Intention score of patients with acute ischemic stroke was(63.61±16.12).Pre-hospital delayed behavioral intention in patients with acute ischemic stroke was positively correlated with disease perception and negative coping(r=0.360,0.266;P<0.01),and negatively correlated with positive coping(r=-0.279,P<0.01).The mediating effects of positive and negative coping on disease perception and pre-hospital delayed behavioral intention in ischemic stroke patients were 0.111 and 0.097,respectively,accounting for 26.89%and 23.49%of the total effect.Conclusions There is a partial mediating effect of coping strategies between disease perception and pre-hospital delayed behavioral intention in ischemic stroke patients.In the process of stroke management,medical and nursing staff can reduce pre-hospital delayed behavioral intentions by improving disease cognition and coping style.

关 键 词：卒中 疾病感知 应对方式 院前延迟行为意向 中介 

分 类 号：R473.74[医药卫生—护理学]