Post-stroke family resilience is correlated with family functioning among stroke survivors: The mediating role of patient's coping and self-efficacy.

IF 2 4区 医学 Q2 NURSING
Nursing Open Pub Date : 2024-07-01 DOI:10.1002/nop2.2230
Wei Zhang, Ya-Jing Gao, Ming-Ming Ye, Lan-Shu Zhou
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引用次数: 0

Abstract

Aim: 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.

Design: 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).

Conclusion: 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.

中风后家庭复原力与中风幸存者的家庭功能相关:患者的应对能力和自我效能的中介作用。
目的:家庭复原力和健康的家庭功能对于脑卒中幸存者的康复至关重要。本研究旨在探讨自我效能感和对抗性应对对首发脑卒中患者家庭复原力与功能之间关系的中介作用:方法:2020年7月至2020年10月,在中国商丘和上海的7家医院招募了288名首发脑卒中患者。采用简体中文版家庭复原力评估量表、家庭适应、伙伴关系、成长、亲情和决心问卷、医疗应对模式问卷和慢性病自我效能感 6 项量表收集自我报告数据。采用矛曼相关和结构方程模型研究了各变量之间的关系:结果:脑卒中患者的家庭功能平均水平为 7.87(SD = 2.32)。约 26.8%(n = 76)的患者报告了家庭功能障碍。结构方程模型显示,家庭复原力直接影响患者对家庭功能的满意度(r = 0.406,p 2/df = 2.128,RMSEA = 0.065,GFI = 0.956,AGFI = 0.919,NFI = 0.949,TLI = 0.956):首次发病脑卒中患者的家庭复原力和功能与患者的对抗应对方式和自我效能在家庭复原力和功能之间的中介效应呈正相关。研究结果表明,专业人员应特别关注家庭复原力差的家庭、很少使用对抗性应对方式或自我效能感差的患者,因为他们更有可能出现功能低下。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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