卒中后疲劳对恢复期脑卒中患者自我管理行为的影响——有调节的中介作用  

The impact of post-stroke fatigue on self-management behaviors in stroke patients during recovery: a moderated mediation effect

作　　者：王玉欣 邢乃姣 吕高品 李鑫鑫 吴善玉[1] WANG Yu-xin;XING Nai-jiao;LV Gao-pin;LI Xin-xin;WU Shan-yu(School of Nursing,Yanbian University,Yanbian Korean Autonomous Prefecture,Jilin 133002,China;不详)

机构地区：[1]延边大学护理学院,吉林延边133002 [2]康复大学青岛中心医院(青岛市中心医院) [3]延边大学附属医院(延边医院)

出　　处：《现代预防医学》2025年第1期132-137,共6页Modern Preventive Medicine

基　　金：延边大学应用基础项目(ydkj202450)。

摘　　要：目的 探讨恢复期脑卒中患者创伤后成长在卒中后疲劳与自我管理行为之间的中介作用以及照顾者贡献在卒中后疲劳与创伤后成长之间的调节作用。方法 方便抽样收集329例恢复期脑卒中患者及其主要照顾者,采用一般资料调查表、疲劳严重度量表、创伤后成长评定问卷、照顾者在脑卒中患者自我护理贡献量表与脑卒中自我管理行为评定量表进行调查。采用Mplus8.3软件对数据应用描述性统计、方差分析、相关性分析,PROCESS程序对中介作用及调节效果进行验证。结果 创伤后成长在卒中后疲劳与自我管理之间发挥着中介作用(e=-0.072,95%CI:-0.119~-0.032),中介效应占总效应比为18.18%;卒中后疲劳与照顾者贡献的交互项对创伤后成长具有正向的预测作用(β=0.095,P<0.05)。结论 医护人员应注重提高恢复期脑卒中患者创伤后成长水平,重视照顾者在疾病恢复中的重要作用,进而提高其自我管理行为。Objective To explore the mediating role of post-traumatic growth between post-stroke fatigue and self-management behaviors in stroke patients during recovery,as well as the moderating effect of caregiver contributions on the relationship between post-stroke fatigue and post-traumatic growth.Methods A convenience sampling method was used to collect data from 329 stroke patients in recovery and their primary caregivers.The study utilized a general information questionnaire,the Fatigue Severity Scale,the Post-Traumatic Growth Inventory,the Caregiver Contribution Scale for Self-Care in Stroke Patients,and the Stroke Self-Management Behavior Assessment Scale.Data analysis was performed using descriptive statistics,variance analysis,and correlation analysis with Mplus 8.3 software,while the PROCESS macro was employed to validate mediation and moderation effects.Results Post-traumatic growth served as a mediator between post-stroke fatigue and self-management behaviors(e=-0.072,95%CI:-0.119 to-0.032),accounting for 18.18%of the total effect.The interaction term between post-stroke fatigue and caregiver contributions positively predicted post-traumatic growth(β=0.095,P<0.05).Conclusion Healthcare professionals should focus on enhancing the level of post-traumatic growth in stroke patients during recovery and recognize the significant role of caregivers in the recovery process,thereby improving self-management behaviors.

关 键 词：恢复期 卒中后疲劳 创伤后成长 照顾者贡献 自我管理行为 

分 类 号：R743.3[医药卫生—神经病学与精神病学]