二元应对在脑卒中后运动障碍患者配偶领悟社会支持和家庭关系间的中介效应  

The mediating effect of dyadic coping on perceived social support and family relationship in spouses of patients with post-stroke motor impairments

作　　者：张田岳 李爱丽 朱碧云 徐小娟 张逍遥 薛龙星 Zhang Tianyue;Li Aili;Zhu Biyun;Xu Xiaojuan;Zhang Xiaoyao;Xue Longxing(Fifth Ward,Department of Neurology,East Block,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院东院区神经内科五病区,郑州450000

出　　处：《中华行为医学与脑科学杂志》2025年第2期158-163,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然科学基金(82301498)。

摘　　要：目的探讨二元应对在脑卒中后运动障碍患者配偶领悟社会支持和家庭亲密度与适应性、幸福度间的中介作用。方法于2023年12月—2024年5月,选取郑州大学第一附属医院就诊的366例脑卒中后运动障碍患者配偶为研究对象,使用一般资料调查表、领悟社会支持量表(PSSS)、二元应对量表(DCI)、家庭亲密度与适应性量表(FACESⅡ-CV)、纽芬兰纪念大学幸福度量表(MUNSH)进行调查。采用AMOS 21.0软件构建结构方程模型,检验配偶二元应对在领悟社会支持和家庭亲密度和适应性、幸福度间的中介效应。结果脑卒中后运动障碍患者配偶领悟社会支持总分为(62.80±12.80)分,二元应对总分为(117.07±20.78)分,家庭亲密度与适应性总分为(115.96±19.51)分,幸福度总分为(22.27±7.29)分。配偶家庭亲密度与适应性与二元应对、领悟社会支持总分呈正相关(r=0.614,0.520,均P<0.01);配偶幸福度与二元应对、领悟社会支持呈正相关(r=0.296,0.202,均P<0.01);配偶领悟社会支持与二元应对呈正相关(r=0.479,P<0.01)。二元应对在领悟社会支持和家庭亲密度与适应性、幸福度间起部分中介效应,中介效应分别占总效应的32.41%(0.211/0.651)和44.39%(0.190/0.428)。结论二元应对是脑卒中后运动障碍患者配偶家庭亲密度与适应性、幸福度的中介变量。医护人员应尝试构建二元应对干预方案,提高脑卒中后运动障碍患者配偶的二元应对水平,从而提升其家庭幸福指数。Objective To explore the mediating effect of dyadic coping between perceived social support and family cohesion and adaptability and happiness in spouses of patients with post-stroke motor impairments.MethodsFrom December 2023 to May 2024,a total of 366 spouses of patients with post-stroke motor impairments who received treatment at the First Affiliated Hospital of Zhengzhou University were recruited as study participants.Data were collected using the general information,perceived social support scale,dyadic coping inventory,Chinese version of the family cohesion and adaptability scale(FACESⅡ-CV),and memorial University of Newfoundland scale of happiness.The AMOS 21.0 software was utilized to construct a structural equation model to examine the mediating effect of dyadic coping between perceived social support,family cohesion and adaptability and happiness.ResultsThe spouses of patients with post-stroke motor impairments reported overall scores for perceived social support(62.80±12.80),dyadic coping(117.07±20.78),family cohesion and adaptability(115.96±19.51),and happiness(22.27±7.29).Family cohesion and adaptability was positively correlated with dyadic coping and perceived social support(r=0.614,0.520,both P<0.01).Spousal happiness was positively correlated with dyadic coping and perceived social support(r=0.296,0.202,both P<0.01).The spouses recognized that perceived social support had a positive correlation with dyadic coping(r=0.479,P<0.01).Dyadic coping played a partial mediating effect between perceived social support and family cohesion and adaptability as well as happiness,accounting for 32.41%(0.211/0.651)and 44.39%(0.190/0.428)of the total effect,respectively.ConclusionDyadic coping is the mediating variable of family cohesion,adaptability and happiness of spouses of patients with post-stroke motor impairments.Medical staff should try to construct a dyadic coping intervention plan to improve the dyadic coping level of spouses of patients with post-stroke motor impairments,so as to improve their f

关 键 词：脑卒中 运动障碍 配偶 领悟社会支持 家庭亲密度与适应性 二元应对 幸福度 中介效应 

分 类 号：R47[医药卫生—护理学]