中青年脑卒中患者自我同情影响因素及作用机制研究  

The influencing factors and mechanism of self-compassion in young and middle-aged stroke patients

作　　者：王俊伟[1,2] 王洪岩 马莎莎[1] 杜洪澎[1] 于佳佳[3] 徐宁 Wang Junwei;Wang Hongyan;Ma Shasha;Du Hongpeng;Yu Jiajia;Xu Ning(Department of Neurosurgery,Binzhou Medical University Hospital,Binzhou 256600,China)

机构地区：[1]滨州医学院附属医院神经外科,山东滨州256600 [2]滨州医学院护理学院 [3]滨州医学院烟台附属医院 [4]滨州医学院附属医院院长办公室,山东滨州256600

出　　处：《护理学杂志》2025年第6期91-96,共6页Journal of Nursing Science

基　　金：山东省医药卫生科技项目(202304040679)。

摘　　要：目的 了解中青年脑卒中患者自我同情现状,分析其影响因素的作用路径和作用机制,为构建提高该群体自我同情的干预方案提供参考。方法 便利选取山东省2所三甲医院290例中青年脑卒中患者作为研究对象,使用一般资料调查表、自我同情量表、社会支持评定量表、自我护理能力量表、疾病接受度量表进行调查。利用分层回归分析探讨自我护理能力、社会支持和疾病接受度对中青年脑卒中患者自我同情的影响,采用AMOS24.0软件构建结构方程模型。结果 中青年脑卒中患者自我同情得分为(82.60±20.88)分。控制人口学变量的影响后,社会支持、自我护理能力、疾病接受度可独立解释自我同情45.1%的变异。社会支持可直接影响自我同情(β=0.173),也可通过自我护理能力、疾病接受度间接影响自我同情(间接效应占总效应的72.97%)。结论 中青年脑卒中患者自我同情处于中等水平,应给予患者充分的社会支持,提高其自我护理能力及疾病接受度,以提高患者的自我同情水平。Objective To describe the current status of self-compassion among young and middle-aged stroke patients,to analyze the path of factors influencing self-compassion,and to provide references for designing intervention program to enhance self-compassion in this population.Methods A total of 290 young and middle-aged stroke patients were selected from two tertiary hospitals in Shandong Province using a convenience sampling method,then they were asked to complete a general information questionnaire,the Self-Compassion Scale,the Social Support Rating Scale,the Exercise of Self-care Agency and the Acceptance of Illness Scale.The effects of self-care ability,social support and acceptance of illness on self-compassion were analyzed by hierarchical regression analysis.Structural equation modeling was conducted using AMOS 24.0.Results The participants scored(82.60±20.88) points for self-compassion.After controlling for demographic variables,social support,self-care ability,and acceptance of illness explained 45.1% of the total variance in self-compassion.Social support could directly affect self-compassion(β=0.173),or indirectly affect self-compassion through self-care ability and acceptance of illness(indirect effects accounting for 72.97% of the total effect).Conclusion Self-compassion of young and middle-aged stroke patients is at a moderate level.Adequate social support should be given to patients,and self-care ability and acceptance of illness should be enhanced,thus to improve their self-compassion.

关 键 词：中青年 脑卒中 自我同情 社会支持 自我护理能力 疾病接受度 资源保护理论 结构方程模型 

分 类 号：R473.5[医药卫生—护理学]