摘要
目的探讨社会支持水平在脑出血患者家属应对方式与疾病获益感间的中介效应。方法选择2020年12月至2023年12月该院收治的脑出血患者家属128例,采用疾病获益感量表(BFS)、医学应对方式问卷(MCMQ)、社会支持评定量表(SSRS)实施问卷调查,分析脑出血患者家属社会支持与应对方式、疾病获益感的相关性及社会支持在应对方式与疾病获益感间的中介效应。结果脑出血患者家属疾病获益感得分为(78.52±10.56)分,社会支持总分为(42.39±5.22)分,应对方式中面对维度得分为(24.35±3.76)分,屈服维度得分为(6.06±1.58)分,回避维度得分为(13.30±2.44)分;脑出血患者家属社会支持总分、各维度与面对应对、疾病获益感呈正相关(P<0.05),与屈服、回避应对呈负相关(P<0.05),而疾病获益感与面对应对呈正相关(P<0.05),与屈服、回避应对呈负相关(P<0.05)。采用强制纳入回归分析结果显示,预测变量取面对应对,因变量取疾病获益感,经回归分析时的决定系数(R)=0.635,未标准化回归系数(B)=1.588,P<0.001;预测变量取面对应对,因变量取社会支持,经回归分析时的R=0.483,B=0.274,P<0.001;预测变量取用面对应对、社会支持,因变量取疾病获益感,经回归分析时的R=0.642,B=1.522,P<0.001。预测变量取回避应对,因变量取社会支持,回归分析时的R=0.410,B=-0.014,P=0.790;预测变量取社会支持、回避应对,因变量取疾病获益感,回归分析时的R=0.421,B=-0.393,P=0.001。社会支持在面对、回避应对疾病获益感预测中均起到中介作用。结论社会支持在脑出血患者家属应对方式与疾病获益感之间起到中介效应,临床可从社会支持入手制定干预对策,有利于提高家属疾病获益感。
Objective To explore the mediating effect of social support level on the coping styles and perceived benefit from illness among family members of cerebral hemorrhage patients.Methods A total of 128 family members of cerebral hemorrhage patients admitted to the hospital from December 2020 to December 2023 were selected.Questionnaires were conducted using the Benefit Finding Scale(BFS),Medical Coping Modes Questionnaire(MCMQ),and Social Support Rating Scale(SSRS).The correlation between social support,coping styles,and perceived benefit from illness among family members of cerebral hemorrhage patients was analyzed,as well as the mediating effect of social support on coping styles and perceived benefit from illness.Results The score for perceived benefit from illness among family members of cerebral hemorrhage patients was(78.52±10.56),the total social support score was(42.39±5.22),the confrontation dimension score of coping styles was(24.35±3.76),the submission dimension score was(6.06±1.58),and the avoidance dimension score was(13.30±2.44).The total social support score and each dimension were positively correlated with confrontation coping and perceived benefit from illness(P<0.05)and negatively correlated with submission and avoidance coping(P<0.05).Perceived benefit from illness was positively correlated with confrontation coping(P<0.05)and negatively correlated with submission and avoidance coping(P<0.05).Results of forced entry regression analysis showed that when the predictor variable was confrontation coping and the dependent variable was perceived benefit from illness,the coefficient of determination(R)during regression analysis was 0.635,the unstandardized regression coefficient(B)was 1.588,and P<0.001.When the predictor variable was confrontation coping and the dependent variable was social support,R during regression analysis was 0.483,B was 0.274,and P<0.001.When the predictor variables were confrontation coping and social support,and the dependent variable was perceived benefit from illness,R du
作者
栗贝
郑晶晶
庄细苗
LI Bei;ZHENG Jingjing;ZHUANG Ximiao(Department of Critical Care Medicine,Putian First Hospital,Putian,Fujian 351199,China)
出处
《现代医药卫生》
2024年第24期4247-4251,共5页
Journal of Modern Medicine & Health
关键词
脑出血
社会支持
患者家属
应对方式
疾病获益感
Cerebral hemorrhage
Social support
Family members of patients
Coping styles
Perceived benefit from illness
