| 刘霜,黄显义,刘艳,岳洁,李玉,陈丽.脑卒中患者应对方式与心理痛苦的关系：智谋的作用路径[J].四川精神卫生杂志,2024,37(3):255-261.Liu Shuang,Huang Xianyi,Liu Yan,Yue Jie,Li Yu,Chen Li,Relationship between coping style and psychological distress in stroke patients： the pathway of resourcefulness[J].SICHUAN MENTAL HEALTH,2024,37(3):255-261 |
| 脑卒中患者应对方式与心理痛苦的关系：智谋的作用路径 |
| Relationship between coping style and psychological distress in stroke patients： the pathway of resourcefulness |
| 投稿时间：2023-06-19 |
| DOI：10.11886/scjsws20230619003 |
| 中文关键词: 脑卒中 应对方式 智谋 心理痛苦 |
| 英文关键词:Stroke Coping style Resourcefulness Psychological distress |
| 基金项目:自贡市哲学社会科学重点研究基地健康人文研究中心（项目名称：后疫情时代脑卒中失能人群恐惧疾病进展的风险预测模型构建及验证，项目编号：JKRWY22-27） |
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| 中文摘要: |
| 背景 脑卒中患者普遍存在不同程度的心理痛苦，已有研究表明，脑卒中患者的心理痛苦与其应对方式和智谋水平密切相关，但关于智谋在脑卒中患者应对方式与心理痛苦之间的作用路径尚不明确。目的 探索脑卒中患者的智谋在应对方式与心理痛苦之间的作用路径，为脑卒中患者心理痛苦的干预提供参考。方法 连续选取2023年1月—5月于泸州市两所三级甲等医院神经内科住院的、符合《中国各类主要脑血管病诊断要点2019》脑卒中诊断标准的350例患者为研究对象。采用自编调查表收集患者的基本资料，采用智谋量表（RS）、医学应对方式量表（MCMQ）和心理痛苦温度计（DT）进行评定。采用Pearson相关分析考查各量表评分之间的相关性，采用Process 3.4.1中的模型4分析智谋在应对方式与心理痛苦之间的作用路径，采用Bootstrap法检验中介效应。结果 脑卒中患者DT评分与MCMQ面对维度评分及RS总评分均呈负相关（r=-0.581、-0.716，P均<0.01），与MCMQ回避和屈服维度评分均呈正相关（r=0.432、0.758，P均<0.01）；MCMQ面对维度评分与RS总评分呈正相关（r=0.700，P<0.01）；MCMQ回避和屈服维度评分与RS总评分呈负相关（r=-0.460、-0.566，P均<0.01）。智谋可能是面对、回避以及屈服与心理痛苦之间的作用路径，效应值分别为-0.359、0.203、0.183，效应量分别为81.78%、62.65%、27.07%。结论 脑卒中患者的应对方式可以直接影响其心理痛苦，也可以通过智谋间接影响心理痛苦，智谋可能是应对方式和心理痛苦之间的作用路径。 |
| 英文摘要: |
| Background Stroke patients commonly experience varying degrees of psychological distress. Previous studies have shown that the psychological distress of stroke patients is closely related to their coping styles and resourcefulness. However， the path of wisdom in coping style and psychological pain of stroke patients is still unclear.Objective To explore the path of resourcefulness between coping styles and psychological distress in stroke patients， so as to provide insights for interventions targeting psychological distress.Methods A total of 350 patients who met the diagnostic criteria for stroke according to the Diagnostic Criteria of Cerebrovascular Diseases in China （version 2019） and were admitted to the neurology departments of two tertiary grade-A hospitals in Luzhou City from January to May 2023 were selected as the research subjects. Basic information was collected using a self-designed questionnaire， and Resourcefulness Scale （RS）， Medical Coping Mode Questionnaire （MCMQ） and Distress Thermometer （DT） were used for assessment. Pearson correlation analysis was conducted to examine the correlation between the scores of each scale. Model 4 of the Process 3.4.1 program was employed to analyze the path of resourcefulness between coping styles and psychological distress， and the Bootstrap method was used to test the mediation effects.Results The DT score showed a negative correlation with the confrontation and RS scores （r=-0.581， -0.716， P<0.01）， and a positive correlation with the avoidance and resignation scores （r=0.432， 0.758， P<0.01）. The confrontation score was positively correlated with RS score （r=0.700， P<0.01）， while the avoidance and resignation scores were negatively correlated with RS score （r=-0.460， -0.566， P<0.01）. Resourcefulness might serve as a mediating path between confrontation， avoidance， resignation， and psychological distress， with the effect value of -0.359， 0.203 and 0.183， accounting for 81.78%， 62.65% and 27.07% of the path effect， respectively.Conclusion The coping styles of stroke patients can directly affect their psychological distress， and can also indirectly influence it through resourcefulness. Resourcefulness may play a mediating role between coping styles and psychological distress. ［Funded by Health Humanities Research Center， Zigong Key Research Base for Philosophy and Social Sciences （number， JKRWY22-27）］ |
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