A study on dyadic relationship between benefit finding and positive psychological capital in stroke patients and their spouses

doi:10.3761/j.issn.0254-1769.2024.17.010

Abstract

Abstract:

Objective To investigate the level of benefit finding and positive psychological capital of stroke patients and their spouses，and to analyse the dyadic interaction between benefit finding and positive psychological capital of patients and their spouses. Methods From March to August 2023，235 stroke patients and their spouses were conveniently selected from the neurology wards of 3 tertiary hospitals in Henan Province，and were surveyed using a general information questionnaire，the positive psychological capital questionnaire，revised version of benefit finding scale，and caregiver benefit finding scale. Results The positive psychological capital scores of stroke patients and their spouses were （4.29±0.75） and（4.56±0.71）；benefit finding scores of the dyads were（2.85±0.69） and（3.64±0.68）. The results of actor-partner interdependence model showed that positive psychological capital of stroke patients and their spouses positively predicted their benefit finding；positive psychological capital of patients positively predicted benefit finding of spouses，and positive psychological capital of spouses positively predicted benefit finding of patients（all P<0.05）. In particular，spousal self-efficacy and resilience positively predicted their benefit finding；their optimism positively predicted the patient’s benefit finding；their hopefulness negatively predicted the patient’s benefit finding（all P<0.05）. Conclusion There was a dyadic interaction between benefit finding and positive psychological capital for stroke patients and their spouses. The role of spouses on patients’ positive psychological capital should not be overlooked，and nurses should develop positive psychological capital intervention strategies centered on couples of stroke patients to enhance positive couple experiences.

Key words: Stroke, Patients, Spouses, Benefit Finding, Positive Psychological Capital, Actor-Partner Interdependence Model, Psychological Nursing

摘要：

目的调查脑卒中患者及其配偶获益感与积极心理资本现状，并分析获益感与积极心理资本的二元交互作用。方法 2023年3月—8月，便利选取河南省3所三级甲等医院神经内科病区住院的235对脑卒中患者及其配偶作为调查对象，采用一般资料调查表、积极心理资本问卷、修订版疾病获益感量表及照顾者获益感问卷进行调查。结果脑卒中患者及其配偶积极心理资本得分分别为（4.29±0.75）、（4.56±0.71）分，患者及其配偶获益感得分分别为（2.85±0.69）、（3.64±0.68）分。主客体互倚模型显示，脑卒中患者及其配偶积极心理资本均正向预测自身获益感，患者积极心理资本正向预测配偶获益感，配偶积极心理资本正向预测患者获益感（均P<0.05）。其中，配偶自我效能、韧性正向预测自身获益感，其乐观正向预测患者获益感，其希望负向预测患者获益感（均P<0.05）。结论脑卒中患者及其配偶获益感与积极心理资本具有二元交互作用。配偶对患者积极心理资本的作用不容忽视，护理人员应制订以脑卒中患者夫妻为中心的积极心理资本干预策略，以提升夫妻积极体验。

关键词: 脑卒中, 患者, 配偶, 获益感, 积极心理资本, 主客体互倚模型, 心理护理学

SUN Qianqian, MEI Yongxia, SONG Wangtao, HUANG Zhen, LIU Zhiwei, DUAN Bomei, ZHANG Zhenxiang. A study on dyadic relationship between benefit finding and positive psychological capital in stroke patients and their spouses[J]. Chinese Journal of Nursing, 2024, 59(17): 2116-2122.

孙倩倩, 梅永霞, 宋王涛, 黄贞, 刘志薇, 段博美, 张振香. 脑卒中患者及其配偶获益感与积极心理资本的二元关系研究[J]. 中华护理杂志, 2024, 59(17): 2116-2122.

Figures/Tables 5

Table 1 General information of stroke patients and their spouses（n=235）

Table 2 Benefit finding and positive psychological capital scores for stroke patients and their spouses（n=235，score，$\bar{x}\pm s$）

Table 3 Correlation analysis between benefit finding and positive psychological capital for stroke patients and their spouses（r value，n=235）

Figure 1 Analysis of subject-object effects of benefit finding and positive psychological capital for stroke patients and their spouses

Figure 2 Subject-object effect analysis of benefit finding and positive psychological capital dimensions

References 34

[1]	相丹丹, 刘志薇, 张振香, 等. 脑卒中患者夫妻二元抑郁的潜在剖面分析及相关因素[J]. 军事护理, 2023, 40(3):49-53.
	Xiang DD, Liu ZW, Zhang ZX, et al. Latent profile analysis of dyadic depression among stroke patients and their spouses and its related factors[J]. Mil Nurs, 2023, 40(3):49-53.
[2]	汪夏云, 朱晓萍, 吴茜. 老年结直肠癌患者术前运动预康复依从性影响因素的质性研究[J]. 四川大学学报(医学版), 2023, 54(4):811-815.
	Wang XY, Zhu XP, Wu Q. Influencing factors of adherence to exercise prehabilitation in older patients with colorectal cancer:a qualitative study[J]. J Sichuan Univ Med Sci, 2023, 54(4):811-815.
[3]	Lin Y, Luo XJ, Li JY, et al. The dyadic relationship of benefit finding and its impact on quality of life in colorectal cancer survivor and spousal caregiver couples[J]. Support Care Cancer, 2021, 29(3):1477-1486.
[4]	Fang WJ, Chen CC, Zhang XT, et al. Association between benefit finding and self-care management in heart failure patient-caregiver dyads:the mediating role of mutuality[J/OL]. J Cardiovasc Nurs.(2023-08-11) [2023-12-12]. https://doi.org/10.1097/JCN.0000000000001034.
[5]	Chiracu A, Cosma GA, Stepan AR, et al. Psychological capital,quality of life,and well-being in mother caregivers of individuals with down syndrome[J]. Front Psychol, 2023, 14:1145104.
[6]	张敏, 王清, 史慧玲, 等. 急性缺血性脑卒中患者早期活动影响因素的质性研究[J]. 中华护理杂志, 2023, 58(17):2112-2118. DOI
	Zhang M, Wang Q, Shi HL, et al. Influencing factors of early activities in patients with acute ischemic stroke:a qualitative study[J]. Chin J Nurs, 2023, 58(17):2112-2118.
[7]	张淑芳, 刘备备, 刘佳欣, 等. 山东省10所三级甲等医院助产士职业获益感现状及影响因素分析[J]. 护理研究, 2022, 36(5):845-849.
	Zhang SF, Liu BB, Liu JX, et al. Status quo and influencing factors of perceived professional benefits of midwives in 10 tertiary grade A hospitals in Shandong Province[J]. Chin Nurs Res, 2022, 36(5):845-849.
[8]	Chung ML, Miller JL, Lee SJ, et al. Linkage of optimism with depressive symptoms among the stroke survivor and caregiver dyads at 2 years post stroke:dyadic mediation approach[J]. J Cardiovasc Nurs, 2023, 38(4):352-360.
[9]	Zhao D, Li YY, Zhou M, et al. The effect of mindfulness and psychological capital on mental health of breast cancer patients:based on polynomial regression and response surface analysis[J]. J Psychosoc Oncol, 2024, 42(2):1-18.
[10]	中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国脑出血诊治指南(2019)[J]. 中华神经科杂志, 2019, 52(12):994-1005.
	Cerebrovascular Disease Group of the Neurological Branch of the Chinese Medical Association,Chinese Medical Association, Neurological Branch of the Chinese Medical Association. Chinese guidelines for diagnosis and treatment of acute intracerebral hemorrhage 2019[J]. Chin J Neurol, 2019, 52(12):994-1005.
[11]	倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计[J]. 中华护理杂志, 2010, 45(4):378-380.
	Ni P, Chen JL, Liu N. The sample size estimation in quantitative nursing research[J]. Chin J Nurs, 2010, 45(4):378-380.
[12]	张阔, 张赛, 董颖红. 积极心理资本:测量及其与心理健康的关系[J]. 心理与行为研究, 2010, 8(1):58-64.
	Zhang K, Zhang S, Dong YH. Positive psychological capital:measurement and relationship with mental health[J]. Stud Psychol Behav, 2010, 8(1):58-64.
[13]	边静, 张兰凤, 刘谆谆, 等. 疾病获益感量表修订版在癌症家庭照顾者中应用的信效度检验[J]. 中国全科医学, 2018, 21(17):2091-2096. DOI
	Bian J, Zhang LF, Liu ZZ, et al. Reliability and validity of the revised Chinese version of benefit finding scale in family caregivers of cancer patients[J]. Chin Gen Pract, 2018, 21(17):2091-2096.
[14]	刘谆谆, 张兰凤, Lisa Gudenkauf. 癌症患者疾病获益感量表的跨文化调适[J]. 中华护理杂志, 2015, 50(5):561-566.
	Liu ZZ, Zhang LF, Gudenkauf L. Cross-cultural adaptation of the benefit finding scale(BFS) in Chinese cancer patients[J]. Chin J Nurs, 2015, 50(5):561-566.
[15]	梅永霞. 脑卒中照顾者获益感概念框架及其评估工具的研究[D]. 郑州: 郑州大学, 2018.
	Mei YX. Study on the conceptual framework and evaluation tools of benefit sense of stroke caregivers[D]. Zhengzhou: Zhengzhou University, 2018.
[16]	杜玉, 张玉侠, 陆小英, 等. 上海市19所三级医院护士主观社会地位现状及影响因素调查[J]. 护理学杂志, 2023, 38(14):54-59.
	Du Y, Zhang YX, Lu XY, et al. The current status and influencing factors of the subjective social status of nurses in 19 tertiary hospitals in Shanghai[J]. J Nurs Sci, 2023, 38(14):54-59.
[17]	陈晨, 陈园园, 刘欣怡, 等. 肺癌患者疾病获益感影响因素的结构方程模型构建[J]. 解放军护理杂志, 2022, 39(6):39-43.
	Chen C, Chen YY, Liu XY, et al. Construction of structural equation model for influencing factors of benefit finding in patients with lung cancer[J]. Nurs J Chin PLA, 2022, 39(6):39-43.
[18]	孙彩云, 林征, 周美景, 等. 炎症性肠病患者疾病获益感现状及影响因素分析[J]. 护理学报, 2022, 29(6):1-6.
	Sun CY, Lin Z, Zhou MJ, et al. Current status of benefit finding among patients with inflammatory bowel diseases and its influence factors[J]. J Nurs(China), 2022, 29(6):1-6.
[19]	Cassidy T. Benefit finding through caring:the cancer caregiver experience[J]. Psychol Health, 2013, 28(3):250-266. DOI PMID
[20]	王露茗, 翟清华, 葛爽, 等. 积极自我表露干预对中青年脑卒中患者照顾者获益感的影响[J]. 护理学杂志, 2023, 38(14):67-71.
	Wang LM, Zhai QH, Ge S, et al. Effect of positive self-disclosure intervention on benefit finding of caregivers with young and middle-aged stroke patients[J]. J Nurs Sci, 2023, 38(14):67-71.
[21]	周小曼, 温碧燕, 陈小芳, 等. 酒店员工正面心理资本、敬业度与工作绩效的关系研究:基于师徒制的视角[J]. 旅游学刊, 2019, 34(9):57-69.
	Zhou XM, Wen BY, Chen XF, et al. An empirical study of the dynamic relationship among positive psychological capital,work engagement and job performance:based on the perspective of mentoring relationship in the hotel industry[J]. Tour Tribune, 2019, 34(9):57-69.
[22]	麻超, 汪雪, 王瑞, 等. 心理资本对大学生压力知觉的影响:认知重评的中介效应和表达抑制的遮掩效应[J/OL]. 中国健康心理学杂志. (2023-09-28) [2023-12-12]. https://link.cnki.net/urlid/11.5257.R.20230927.1728.006.
	Ma C, Wang X, Wang R, et al. The effect of psychological capital on college students’ perceived stress:mediating effect of cognitive reappraisal and masking effect of expression inhibition[J/OL]. China J Health Psychol. (2023-09-28) [2023-12-12]. https://link.cnki.net/urlid/11.5257.R.20230927.1728.006.
[23]	段素伟, 乔凌芳, 张爱萍, 等. 二元应对干预对乳腺癌术后患者及配偶的影响[J]. 护理学杂志, 2022, 37(4):71-74.
	Duan SW, Qiao LF, Zhang AP, et al. Effects of dyadic coping intervention on breast cancer patients and their spouses[J]. J Nurs Sci, 2022, 37(4):71-74.
[24]	何叶, 王元姣, 谢珺, 等. 心理资本在恢复期脑卒中患者领悟社会支持与患者积极度的中介效应分析[J]. 护理学报, 2023, 30(7):65-70.
	He Y, Wang YJ, Xie J, et al. Analysis on the mediating effect of psychological capital on perceived social support and patient’s positive degree of stroke patients in recovery period[J]. J Nurs(China), 2023, 30(7):65-70.
[25]	张路遥, 李秋芳, 徐瑞, 等. 笑声瑜伽对非小细胞肺癌化疗患者压力知觉的影响[J]. 护理学杂志, 2023, 38(3):94-99.
	Zhang LY, Li QF, Xu R, et al. Effect of laughter yoga on stress perception in patients undergoing chemotherapy for non-small cell lung cancer[J]. J Nurs Sci, 2023, 38(3):94-99.
[26]	Reivich K, Shatté A. The resilience factor:7 essential skills for overcoming life’s inevitable obstacles[M]. New York,United States: Broadway books, 2002.
[27]	Zhang XK, Deng XL, Mo YY, et al. Relationship between infertility-related stress and resilience with posttraumatic growth in infertile couples:gender differences and dyadic interaction[J]. Hum Reprod, 2021, 36(7):1862-1870.
[28]	Wang H, Yue HR, Ren MM, et al. Dyadic effects of family-functioning and resilience on quality of life in advanced lung cancer patients and caregivers:an actor-partner interdepen-dence mediation model[J]. Eur J Oncol Nurs, 2021, 52:101963.
[29]	Mei YX, Xiang DD, Zhang ZX, et al. Family function,self-efficacy,care hours per day,closeness and benefit finding among stroke caregivers in China:a moderated mediation model[J]. J Clin Nurs, 2023, 32(3/4):506-516.
[30]	蔡莉莉, 吴琼, 王育宁, 等. 基于自我效能理论的护理干预联合早期精细化护理改善青年脑梗死病人抑郁的效果[J]. 护理研究, 2023, 37(19):3582-3586.
	Cai LL, Wu Q, Wang YN, et al. Effect of nursing intervention based on self-efficacy theory combined with early intensive nursing on depression in young patients with cerebral infarction[J]. Chin Nurs Res, 2023, 37(19):3582-3586.
[31]	王田田, 吕世慧, 周超, 等. 卵巢癌患者家庭照顾者疾病获益感现状及影响因素研究[J]. 护理管理杂志, 2023, 23(6):464-468.
	Wang TT, Lü SH, Zhou C, et al. A study of the current status and influencing factors of benefit finding among family caregivers of ovarian cancer patients[J]. J Nurs Manag, 2023, 23(6):464-468.
[32]	朱博, 宋卫环, 高晓萌, 等. 脑卒中患者家庭照顾者准备度、社会支持对心理弹性的影响[J]. 齐鲁护理杂志, 2020, 26(17):28-31.
	Zhu B, Song WH, Gao XM, et al. Effects of family caregiver preparedness and social support on mental resilience of stroke patients[J]. J Qilu Nurs, 2020, 26(17):28-31.
[33]	刘英, 甄倩, 王晓庄, 等. 乳腺癌患者和配偶的创伤后成长及与积极心理资本的关系[J]. 中华护理杂志, 2023, 58(7):794-799. DOI
	Liu Y, Zhen Q, Wang XZ, et al. Posttraumatic growth in breast cancer patients and their spouses and its relationship with positive psychological capital[J]. Chin J Nurs, 2023, 58(7):794-799. DOI
[34]	Patterson JM. Integrating family resilience and family stress theory[J]. J Marriage Fam, 2002, 64(2):349-360.