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

摘要：

目的 探讨脑卒中患者和照顾者二元心理健康素养的潜在剖面并分析不同类别脑卒中患者和照顾者二元特征差异。 方法 采用便利抽样法，选取2020年7月—10月在河南省某三级甲等综合医院住院治疗的287对脑卒中患者及其照顾者作为调查对象，采用一般资料调查表、多元心理健康素养量表、社会支持评定量表进行问卷调查。采用潜在剖面分析探索脑卒中患者和照顾者二元心理健康素养的潜在类别，采用多元Logistic回归分析评估各种因素对不同分型的影响。 结果 脑卒中患者和照顾者二元心理健康素养分为4种潜在类别：二元低资源组（19.86%）、二元低素养组（54.36%）、二元低信念组（11.15%）、二元高素养组（14.63%）。患者年龄、家庭人均月收入，照顾者年龄、社会支持水平、文化程度、每天照顾患者时长和共计照顾患者时长是脑卒中患者和照顾者二元心理健康素养的影响因素（P<0.05）。 结论 脑卒中患者和照顾者二元心理健康素养存在4种潜在类别，临床医护人员应从二元整体视角对不同心理健康素养特征的脑卒中患者和照顾者开展心理干预，以提高二元心理健康素养。

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