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

doi:10.3761/j.issn.0254-1769.2024.17.010

摘要/Abstract

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

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

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.

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.

图/表 5

表1 脑卒中患者及其配偶的一般资料（n=235）

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

表2 脑卒中患者及其配偶获益感与积极心理资本得分（n=235，分，$\bar{x}\pm s$）

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

表3 脑卒中患者及其配偶获益感与积极心理资本的相关性分析（r 值，n=235）

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

图1 脑卒中患者及其配偶获益感与积极心理资本的主客体效应分析 1）P<0.01，2）P<0.001。

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

图2 获益感与积极心理资本维度的主客体效应分析注：虚线表示不显著路径，实线表示显著路径。 1）P<0.05，2）P<0.01，3）P<0.001。

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

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