Abstract:

Objective To explore the potential categories of dyadic psychological capital and related factors among stroke patients and their spouses，in order to inform the improvement of their mental health. Methods Stroke patients and their spouses were recruited in the Neurology Department of 3 tertiary general hospitals from March，2023 to August，2023 by convenience sampling method. The general information questionnaire，Modified Rankin Scale（mRs），Psychological Capital Questionnaire，The Kessler Psychological Distress Scale（K10） and Perceived Social Support Scale（PSSS） were used for investigation. Latent profile analysis was adopted to explore the categories of dyadic psychological capital，and multiple Logistic regression analysis was used to assess the effect of various factors on different categories. Results A total of 232 returned questionnaires（out of the 235） were valid，resulting an effective response rate of 98.7%. Stroke patients and their spouses were divided into 3 categories，including dyadic low psychological capital-low self-efficacy group（6.0%），dyadic high psychological capital-low resilience group（15.9%） and dyadic medium psychological capital group（78.1%）. The stroke patients’ education level，mRs scores，occupational status after the illness，level of perceived social support，and spouses’ working condition were the influencing factors on potential profiles of dyadic psychological capital（P<0.05）. Conclusion There are heterogeneity and interdependence in the level of dyadic psychological capital of stroke patients and their spouses. Healthcare professionals should promote dyadic mental health by developing targeted interventions for stroke patients and their spouses with different psychological capital characteristics from a dyadic holistic perspective.

Key words: Stroke, Spouses, Psychological Capital, Latent Profile Analysis, Psychological Care

摘要：

目的 探究脑卒中患者及其配偶二元心理资本的潜在剖面特征及相关影响因素，为改善其心理健康提供参考。方法 采用便利抽样法，于2023年3月—8月在河南省某3所三级甲等医院神经内科的脑卒中患者及其配偶作为调查对象。采用一般资料调查表、改良Rankin评分、心理资本量表、凯斯勒心理状况评定量表以及领悟社会支持量表进行调查。潜在剖面分析探索二元心理资本潜在分型，通过多元Logistic回归分析评估各种因素对不同分型的影响。结果 共发放问卷235份，回收有效问卷232份，有效问卷回收率为98.7%。潜在剖面分析结果显示，脑卒中患者及其配偶二元心理资本分为二元低心理资本-低自我效能组（6.0%）、二元高心理资本-低韧性组（15.9%）、二元中心理资本组（78.1%）3个潜在类别。脑卒中患者文化程度、预后情况、患病后工作状况、领悟社会支持量表得分以及配偶工作状况是二元心理资本潜在剖面的影响因素（P<0.05）。结论 脑卒中患者及其配偶二元心理资本水平存在异质性，且存在相依关系，提示医护人员应从二元整体视角出发对不同心理资本特征的脑卒中患者及其配偶制订针对性的干预措施，促进其心理健康。

关键词: 脑卒中, 配偶, 心理资本, 潜在剖面分析, 心理护理