关键词: 脑卒中, 照护者, 二元, 心理健康素养, 潜在剖面分析, 影响因素分析, 护理

Abstract:

Objective To explore the categories of dyadic mental health literacy among stroke patients and their caregivers，and to analyze the differences in the characteristics of different classes of stroke patients and their caregivers. Methods A convenient sampling method was used to select 287 dyads of stroke patients and their caregivers who were treated at a tertiary general hospital in Henan province from July to October 2020. The general information questionnaire，Multicomponent Mental Health Literacy and Social Support Rating Scale were used for investigation. Latent profile analysis was adopted to explore the categories of dyadic mental health literacy，and multiple logistic regression was used to analyze the influencing factors of each category. Results Stroke patients and their caregivers were divided into 4 categories based on scores of mental health literacy：dyadic low resource group（19.86%），dyadic low literacy group（54.36%），dyadic low belief group（11.15%），dyadic high literacy group（14.63%）. The patient’s age，average monthly household income，the caregiver’s age，the caregiver’s Social Support Rating Scale score，the caregiver’s educational level，daily care time and total time length of care were the factors influencing the categories of dyadic mental health literacy among stroke patients and their caregivers（P<0.05）. Conclusion Stroke patients and their caregivers were divided into 4 categories based on scores of mental health literacy. Medical staff should carry out comprehensive psychological interventions for stroke patients and their caregivers with different dyadic mental health literacy characteristics，so as to improve dyadic mental health literacy.

Key words: Stroke, Caregiver, Dyadic, Mental Health Literacy, Latent Profile Analysis, Root Cause Analysis, Nursing Care