Abstract:

Objective To explore the different potential subtypes of psychosocial adaptation among young and middle-aged stroke patients，and analyze the relationship between different potential subtypes and quality of life，so as to provide references for the subsequent development of targeted interventions. Methods A total of 406 young and middle-aged stroke patients in 4 tertiary hospitals in Suzhou from June 2023 to June 2024 were recruited by convenience sampling. The General Information Questionnaire，the Self-Report Psychosocial Adjustment to Illness Scale and the EuroQol five-dimensional questionnaire were conducted for investigation. Latent profile analysis was used to explore the potential subtypes of psychosocial adaptation among young and middle-aged stroke patients. Generalized linear regression analysis was conducted with quality of life as dependent variables. Results A total of 380 young and middle-aged stroke patients were included. The psychosocial adaptation of patients could be classified into 3 potential subtypes：high adaptation level type（23.90%），medium adaptation level with health concerns type（46.40%），and low adaptation level with psychological barriers type（29.70%）. The results of generalized linear regression analysis showed that potential subtypes of psychosocial adaptation were the influencing factors for quality of life in young and middle-aged stroke patients（P<0.05）. Conclusion There was group heterogeneity in psychosocial adaptation among young and middle-aged stroke patients，and the potential subtype of psychosocial adaption was an important factor affecting the quality of life of patients. It is suggested that medical staff should focus on patients with low adaptation level with psychological barriers type，and take targeted interventions according to characteristics of different subtypes of patients，so as to improve their quality of life.

Key words: Young and Middle-Aged Stroke, Psychosocial Adaptation, Latent Profile Analysis, Quality of Life, Nursing Care

摘要：

目的 探讨中青年脑卒中患者心理社会适应的不同潜在类型与生活质量的关系，为后续制订精准干预措施提供参考。方法 采用便利抽样法，选取2023年6月—2024年6月在苏州市4所三级甲等医院住院的406例中青年脑卒中患者作为调查对象。采用一般资料调查表、疾病心理社会适应量表、欧洲五维健康量表进行调查。采用潜在剖面分析探索中青年脑卒中患者心理社会适应的不同潜在类型，以生活质量为因变量进行广义线性回归分析。结果 共纳入380例中青年脑卒中患者，其心理社会适应可分为3个潜在类型：高适应水平型（23.90%）、中等适应水平-健康困扰型（46.40%）、低适应水平-心理障碍型（29.70%）。广义线性回归分析结果显示，心理社会适应潜在类型是中青年脑卒中患者生活质量的影响因素（P<0.05）。结论 中青年脑卒中患者心理社会适应存在群体异质性，心理社会适应潜在类型是患者生活质量的重要影响因素。医护人员应重点关注低适应水平-心理障碍型患者，并结合不同类型患者的特点，制订精准干预措施，提高其生活质量。

关键词: 中青年脑卒中, 心理社会适应, 潜在剖面分析, 生活质量, 护理