觉知压力对脑卒中恢复期病人创伤后成长的影响:心理复原力的中介作用  

The effect of perceived stress on post-traumatic growth in patients recovering from stroke:the mediating role of psychological resilience

作　　者：王秋香[1] 黄晓聪[1] 冯玉玲[1] WANG Qiuxiang;HUANG Xiaocong;FENG Yuling(Xinfeng County People′s Hospital of Jiangxi Province,Jiangxi 341600 China)

机构地区：[1]江西省信丰县人民医院,341600

出　　处：《全科护理》2024年第24期4566-4570,共5页Chinese General Practice Nursing

基　　金：赣州市指导性科技计划项目,编号:GZ2020ZSF525。

摘　　要：目的:探究觉知压力对脑卒中恢复期病人创伤后成长的影响及心理复原力的中介效应。方法:采用便利抽样法选取2021年2月—2023年5月在医院住院的脑卒中恢复期病人作为研究对象,采用一般资料调查表、创伤后成长评定量表(PTGI)、觉知压力量表(PSS)、心理复原力量表(CD-RISC)进行调查。采用Pearson相关分析研究PTGI评分与PSS、CD-RISC评分的相关性;采用线性回归分析研究心理复原力在觉知压力与创伤后成长间的中介作用,采用Bootstrap法检验中介效应。结果:共发放191份问卷,有效问卷186份,有效回收率97.38%。186例脑卒中恢复期病人创伤后成长评分为(52.14±6.99)分,觉知压力评分为(17.37±3.57)分,心理复原力评分为(56.17±9.82)分。Pearson相关性分析显示,脑卒中恢复期病人创伤后成长与觉知压力呈负相关(r=-0.651,P<0.05),与心理复原力呈正相关(r=0.555,P<0.05)。线性回归分析显示,觉知压力负向影响心理复原力、创伤后成长(β值为-1.623,-1.275,P<0.05);觉知压力、心理复原力共同对创伤后成长有预测作用(P<0.05),可解释46.3%的变异度。心理复原力在脑卒中恢复期病人觉知压力与创伤后成长间的中介效应值为-0.303[95%CI(-0.455,-0.170)],起部分中介作用,中介效应占总效应的23.8%。结论:觉知压力会直接影响脑卒中恢复期病人创伤后成长水平,也能通过心理复原力的中介效应间接影响创伤后成长。Objective:To explore the effect of perceived stress on post-traumatic growth in patients with stroke in recovery period and the mediating effect of psychological resilience.Methods:From February 2021 to May 2023,convenience sampling was used to select patients with stroke in recovery stage who were hospitalized in hospital as the research objects.The general Information Questionnaire,Posttraumatic Growth Inventory(PTGI),Perceived Stress Scale(PSS)and Connor-Davidson Resilience Scale(CD-RISC)were used for investigation.Pearson correlation analysis was used to analyze the correlation between post-traumatic growth score and perceived stress,psychological resilience score.Linear regression was used to analyze the mediating effect of psychological resilience between perceived stress and post-traumatic growth,and Bootstrap method was used to test the mediating effect.Results:A total of 191 questionnaires were distributed in this study,of which 186 were valid,with an effective recovery rate of 97.38%.Among 186 stroke patients in recovery stage,the post-traumatic growth score was 52.14±6.99,the perceived stress score was 17.37±3.57,and the psychological resilience score was 56.17±9.82.Pearson correlation analysis showed that post-traumatic growth of stroke patients in recovery period was negatively correlated with perceived stress(r=-0.651,P<0.05)and positively correlated with psychological resilience(r=0.555,P<0.05).Linear regression analysis showed that perceived stress negatively affected psychological resilience and post-traumatic growth(βvalues were-1.623,-1.275,P<0.05).Both perceived stress and psychological resilience had a predictive effect on post-traumatic growth(P<0.05),which could explain 46.3%of the variation.The mediating effect value of psychological resilience between perceived stress and post-traumatic growth in patients with stroke at recovery stage was-0.303[95%CI(-0.455,-0.170)],which played a partial mediating role,accounting for 23.8%of the mediating effect.Conclusions:Perceived stress can direc

关 键 词：脑卒中 创伤后成长 觉知压力 心理复原力 中介效应 

分 类 号：R473.74[医药卫生—护理学]