创伤后成长在中青年脑卒中患者医学应对方式与康复锻炼依从性间的中介效应  

Mediating effect of post-traumatic growth between medical coping styles and compliance with rehabilitation exercise in young and middle-aged stroke patients

作　　者：张洁 来艳丽 王亚霖 方晓霞 Zhang Jie;Lai Yanli;Wang Yalin;Fang Xiaoxia(Second Department of Head,Neck and Breast,Xinxiang Central Hospital&the Fourth Clinical College of Xinxiang Medical University&Key Laboratory of Stroke Rehabilitation Nursing Technology in Xinxiang,Xinxiang 453000,China;Department of Rehabilitation Medicine,Xinxiang Central Hospital&the Fourth Clinical College of Xinxiang Medical University&Key Laboratory of Stroke Rehabilitation Nursing technology in Xinxiang,Xinxiang 453000,China;Department of Nursing,Xinxiang Central Hospital&the Fourth Clinical College of Xinxiang Medical University&Key Laboratory of Stroke Rehabilitation Nursing Technology in Xinxiang,Xinxiang 453000,China)

机构地区：[1]新乡市中心医院头颈乳腺二、新乡医学院第四临床学院、新乡市脑卒中康复护理技术重点实验室,新乡453000 [2]新乡市中心医院康复医学科、新乡医学院第四临床学院、新乡市脑卒中康复护理技术重点实验室,新乡453000 [3]新乡市中心医院护理部、新乡医学院第四临床学院、新乡市脑卒中康复护理技术重点实验室,新乡453000

出　　处：《中华现代护理杂志》2025年第9期1184-1189,共6页Chinese Journal of Modern Nursing

基　　金：河南省科技攻关项目(LHGJ20220991)。

摘　　要：目的分析创伤后成长在中青年脑卒中患者医学应对方式与康复锻炼依从性间的中介效应。方法采用便利抽样法,选择2023年3月-2024年2月新乡市中心医院神经内科住院的217例脑卒中患者为研究对象,采用基本资料调查表、医学应对方式调查表(SCSQ)、创伤后成长水平调查表(PTGI)、锻炼依从性调查表调查。采用Pearson相关分析对创伤后成长、医学应对方式及康复锻炼依从性的关系进行分析,采用AMOS 21.0软件建立结构方程模型并进行中介效应验证。结果共发放调查问卷217份,回收有效问卷209份,有效问卷回收率为96.31%。209例患者的PTGI得分为(45.62±10.52)分;SCSQ中的积极应对得分为(14.05±3.46)分,消极应对得分为(15.23±3.67)分;康复锻炼依从性得分为(31.62±4.38)分。创伤后成长与积极应对、康复锻炼依从性总分及各维度得分呈正相关(P<0.05),与消极应对呈负相关(P<0.05);积极应对与康复锻炼依从性总分及各维度得分呈正相关(P<0.05)。创伤后成长在医学应对方式、康复锻炼依从性间起部分中介作用,中介效应占总效应的25.00%(0.037/0.148)。结论中青年脑卒中患者稳定期早期阶段的消极应对明显,创伤后成长水平不足,康复锻炼依从性较好,且仍有提升空间。创伤后成长在中青年脑卒中患者医学应对方式、康复锻炼依从性间起部分中介作用。ObjectiveTo analyze the mediating effect of post-traumatic growth between medical coping styles and compliance with rehabilitation exercise in young and middle-aged stroke patients.MethodsBy convenience sampling,217 stroke patients admitted to the Department of Neurology,Xinxiang Central Hospital from March 2023 to February 2024 were selected as the research objects.The investigation was carried out using a basic information questionnaire,Medical Coping Style Questionnaire(SCSQ),Post-Traumatic Growth Inventory(PTGI),and Exercise Compliance Questionnaire.Pearson correlation analysis was used to analyze the relationships among post-traumatic growth,medical coping styles,and compliance with rehabilitation exercise.The structural equation model was established using AMOS 21.0 software and the mediating effect was verified.ResultsA total of 217 questionnaires were distributed,and 209 valid questionnaires were collected,with the valid questionnaire recovery rate being 96.31%.The PTGI score of the 209 patients was(45.62±10.52);the positive coping score in SCSQ was(14.05±3.46),and the negative coping score was(15.23±3.67);the compliance score with rehabilitation exercise was(31.62±4.38).Post-traumatic growth was positively correlated with the total and dimensional scores of positive coping and rehabilitation exercise compliance(P<0.05),and negatively correlated with negative coping(P<0.05);positive coping was positively correlated with the total scores and scores of each dimension of compliance with rehabilitation exercise(P<0.05).Post-traumatic growth played a partial mediating role between medical coping styles and compliance with rehabilitation exercise,and the mediating effect accounted for 25.00%(0.037/0.148)of the total effect.ConclusionsIn the early stage of the stable period,young and middle-aged stroke patients show obvious negative coping,have insufficient post-traumatic growth levels,and have good compliance with rehabilitation exercise,with room for improvement.Post-traumatic growth plays a partial mediat

关 键 词：卒中 中青年 创伤后成长 医学应对方式 康复锻炼依从性 中介效应 

分 类 号：R47[医药卫生—护理学]