目的:家庭韧性和健康的家庭功能对中风幸存者的康复至关重要。本研究旨在确定自我效能感和对抗应对在首发卒中患者家庭韧性与功能关系中的中介作用。
方法:采用横截面设计。
方法:从商丘和上海的7家医院招募288例首发脑卒中患者,中国,从2020年7月到2020年10月。家庭复原力评估量表的缩短中文版,家庭适应,伙伴关系,增长,情感和解决问卷,医学应对方式问卷,使用慢性疾病自我效能6项量表收集自我报告数据。利用spearman相关和结构方程模型研究了所研究变量之间的关系。
结果:脑卒中患者家庭功能的平均水平为7.87(SD=2.32)。约26.8%(n=76)的患者报告家庭功能障碍。结构方程模型显示,家庭韧性直接影响患者对家庭功能的满意度(r=0.406,p<0.001),间接影响患者自我效能感和对抗方式的中介作用(r=0.119,p<0.001)。模型拟合良好(χ2/df=2.128,RMSEA=0.065,GFI=0.956,AGFI=0.919,NFI=0.949,TLI=0.956)。
结论:首发卒中患者的家庭韧性和功能与患者的对抗应对方式和自我效能感在家庭韧性和功能之间的中介作用呈正相关。研究结果表明,专业人员应特别注意表现出家庭韧性差的家庭,或很少使用对抗应对方式或自我效能感差的患者,因为他们更有可能遭受低功能困扰。
OBJECTIVE: Family resilience and healthy family functioning are crucial for stroke survivors\' rehabilitation. This study aimed to determine the mediating effects of self-efficacy and confrontation coping on the relationship between family resilience and functioning among patients with first-episode stroke.
METHODS: A cross-sectional design was applied.
METHODS: 288 patients with first-episode stroke were recruited from 7 hospitals in Shangqiu and Shanghai, China, from July 2020 to October 2020. A shortened Chinese version of the Family Resilience Assessment Scale, family adaptation, partnership, growth, affection and resolve questionnaire, Medical Coping Modes Questionnaire, and Self-efficacy for Chronic Disease 6-item Scale were used to collect the self-reported data. The relationships among the studied variables were studied using spearman correlation and structural equation model.
RESULTS: The average level of family functioning among stroke patients was 7.87 (SD = 2.32). About 26.8% (n = 76) of patients reported family dysfunction. The structural equation model showed that family resilience directly affected patients\' satisfaction with family functioning (r = 0.406, p < 0.001) and indirectly affected the mediating role of patients\' self-efficacy and confrontation coping style (r = 0.119, p < 0.001). The model was with good fit (χ2/df = 2.128, RMSEA = 0.065, GFI = 0.956, AGFI = 0.919, NFI = 0.949, and TLI = 0.956).
CONCLUSIONS: Family resilience and functioning among patients with first-episode stroke are positively associated with the mediating effects of the patients\' confrontation coping style and self-efficacy between family resilience and functioning. The findings indicate that the professionals should pay special attention to families exhibiting poor family resilience or with patients who rarely use confrontation coping styles or with poor self-efficacy since they are more likely to suffer from low functioning.