受中风影响的中年和年轻夫妇的残疾,抑郁,社会支持和生活质量的相互作用:使用演员-伴侣相互依赖调解模型进行双向路径分析
Ya-Ting Liu1, Dan-Dan Xiang2, Song Ge3
1Department of Nursing, School of Nursing and Health, Zhengzhou University, 101 Science Avenue, Zhengzhou 450001, China.
Nursing reports (Pavia, Italy)
|October 28, 2025
概括
卒中幸存者的残疾严重影响他们的生活质量 (QoL) 和心理健康. 早期识别和干预对于改善中风受影响夫妇的QoL至关重要.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 脑卒中是导致长期残疾的主要原因.
- 脑卒中后的残疾不仅影响了幸存者,也影响了他们的配偶照顾者.
- 了解双层影响对于综合护理至关重要.
研究的目的:
- 研究中风幸存者残疾对二次性生活质量 (QoL) 的影响.
- 分析社会支持在残疾与生活质量关系中的调解作用.
- 评估对中风幸存者及其配偶护理人员的影响.
主要方法:
- 纵向研究采用在基线,出院1,3和6个月后收集的数据.
- 运用了Actor-Partner相互依赖调解模型进行双向数据分析.
- 测量残疾,抑郁症状,社会支持以及身体/精神健康结果.
主要成果:
- 更高的残疾与幸存者和配偶的抑郁症状增加相关.
- 幸存者的残疾对幸存者的身体健康产生了负面影响,间接地,通过照顾者的抑郁症对照顾者的身体健康产生了负面影响.
- 残疾通过抑郁和社会支持影响了幸存者的心理健康,并间接通过照顾者的抑郁和幸存者的社会支持.
结论:
- 卒中幸存者的残疾严重影响了夫妇的抑郁和生活质量.
- 建议在中风幸存者中早期识别残疾.
- 需要有针对性的干预措施来提高高风险中风受影响的夫妇的QoL.
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