Qianqian Sun, Shanshan Wang, Wangtao Song, Song Ge, Xin Li, Ling Ma, Zhenxiang Zhang, Yongxia Mei
{"title":"脑卒中患者-配偶二联体心理资本、关系满意度和心理困扰的关系:一个行动者-伴侣相互依赖的中介模型。","authors":"Qianqian Sun, Shanshan Wang, Wangtao Song, Song Ge, Xin Li, Ling Ma, Zhenxiang Zhang, Yongxia Mei","doi":"10.1111/jnu.70023","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>To explore the association between psychological capital and psychological distress in stroke patient–spouse dyads and examine the mediating effect of relationship satisfaction in this association.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A population of 207 stroke patient-spouse dyads completed the Positive Psychological Capital Questionnaire, Quality of Relationship Index, and Kessler Psychological Distress Scale. A dyadic analysis was conducted using the actor-partner interdependence mediation model.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>In stroke-affected couples, a noteworthy interaction exists between moderately elevated levels of psychological capital (<i>p</i> < 0.01). Patients exhibit significantly diminished psychological capital and heightened psychological distress compared to their spouses (<i>t</i> = −5.429, <i>p</i> < 0.001; <i>t</i> = 2.536, <i>p</i> < 0.05). Conversely, there is no significant variance in relationship satisfaction between patients and the partners (<i>t</i> = −0.920, <i>p</i> > 0.05). Patient relationship satisfaction acts as a mediator in the correlation between dyadic psychological capital and patient psychological distress (<i>β</i> = −0.020, <i>p</i> < 0.05; <i>β</i> = −0.011, <i>p</i> < 0.05). Similarly, spousal relationship satisfaction serves as a mediator in the connection between dyadic psychological capital and spousal psychological distress (<i>β</i> = −0.011, <i>p</i> < 0.05; <i>β</i> = −0.020, <i>p</i> < 0.05).</p>\n </section>\n \n <section>\n \n <h3> Conclusions and Clinical Relevance</h3>\n \n <p>Psychological distress was reduced when psychological capital or relationship satisfaction in stroke dyads was promoted, and relationship satisfaction is an important mediator of the impact of psychological capital on psychological distress in the dyads. Healthcare providers should pay equal attention to spouses and implement dyadic psychological capital interventions centered on stroke couples to enhance relationship satisfaction and reduce psychological distress.</p>\n </section>\n </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"799-807"},"PeriodicalIF":2.9000,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association Among Psychological Capital, Relationship Satisfaction and Psychological Distress in Stroke Patient-Spouse Dyads: An Actor-Partner Interdependence Mediation Model\",\"authors\":\"Qianqian Sun, Shanshan Wang, Wangtao Song, Song Ge, Xin Li, Ling Ma, Zhenxiang Zhang, Yongxia Mei\",\"doi\":\"10.1111/jnu.70023\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>To explore the association between psychological capital and psychological distress in stroke patient–spouse dyads and examine the mediating effect of relationship satisfaction in this association.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A population of 207 stroke patient-spouse dyads completed the Positive Psychological Capital Questionnaire, Quality of Relationship Index, and Kessler Psychological Distress Scale. A dyadic analysis was conducted using the actor-partner interdependence mediation model.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>In stroke-affected couples, a noteworthy interaction exists between moderately elevated levels of psychological capital (<i>p</i> < 0.01). Patients exhibit significantly diminished psychological capital and heightened psychological distress compared to their spouses (<i>t</i> = −5.429, <i>p</i> < 0.001; <i>t</i> = 2.536, <i>p</i> < 0.05). Conversely, there is no significant variance in relationship satisfaction between patients and the partners (<i>t</i> = −0.920, <i>p</i> > 0.05). Patient relationship satisfaction acts as a mediator in the correlation between dyadic psychological capital and patient psychological distress (<i>β</i> = −0.020, <i>p</i> < 0.05; <i>β</i> = −0.011, <i>p</i> < 0.05). Similarly, spousal relationship satisfaction serves as a mediator in the connection between dyadic psychological capital and spousal psychological distress (<i>β</i> = −0.011, <i>p</i> < 0.05; <i>β</i> = −0.020, <i>p</i> < 0.05).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions and Clinical Relevance</h3>\\n \\n <p>Psychological distress was reduced when psychological capital or relationship satisfaction in stroke dyads was promoted, and relationship satisfaction is an important mediator of the impact of psychological capital on psychological distress in the dyads. Healthcare providers should pay equal attention to spouses and implement dyadic psychological capital interventions centered on stroke couples to enhance relationship satisfaction and reduce psychological distress.</p>\\n </section>\\n </div>\",\"PeriodicalId\":51091,\"journal\":{\"name\":\"Journal of Nursing Scholarship\",\"volume\":\"57 5\",\"pages\":\"799-807\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2025-07-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Scholarship\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/jnu.70023\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Scholarship","FirstCategoryId":"3","ListUrlMain":"https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/jnu.70023","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Association Among Psychological Capital, Relationship Satisfaction and Psychological Distress in Stroke Patient-Spouse Dyads: An Actor-Partner Interdependence Mediation Model
Purpose
To explore the association between psychological capital and psychological distress in stroke patient–spouse dyads and examine the mediating effect of relationship satisfaction in this association.
Methods
A population of 207 stroke patient-spouse dyads completed the Positive Psychological Capital Questionnaire, Quality of Relationship Index, and Kessler Psychological Distress Scale. A dyadic analysis was conducted using the actor-partner interdependence mediation model.
Results
In stroke-affected couples, a noteworthy interaction exists between moderately elevated levels of psychological capital (p < 0.01). Patients exhibit significantly diminished psychological capital and heightened psychological distress compared to their spouses (t = −5.429, p < 0.001; t = 2.536, p < 0.05). Conversely, there is no significant variance in relationship satisfaction between patients and the partners (t = −0.920, p > 0.05). Patient relationship satisfaction acts as a mediator in the correlation between dyadic psychological capital and patient psychological distress (β = −0.020, p < 0.05; β = −0.011, p < 0.05). Similarly, spousal relationship satisfaction serves as a mediator in the connection between dyadic psychological capital and spousal psychological distress (β = −0.011, p < 0.05; β = −0.020, p < 0.05).
Conclusions and Clinical Relevance
Psychological distress was reduced when psychological capital or relationship satisfaction in stroke dyads was promoted, and relationship satisfaction is an important mediator of the impact of psychological capital on psychological distress in the dyads. Healthcare providers should pay equal attention to spouses and implement dyadic psychological capital interventions centered on stroke couples to enhance relationship satisfaction and reduce psychological distress.
期刊介绍:
This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers.
Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.