配偶照顾负担在脑卒中偏瘫患者及其配偶二元应对间的中介作用OA

Objective To explore the mediating effect of spouse care burden on the relationship between post-stroke hemiplegia patients'dyadic coping and their spouses'dyadic coping,aiming to provide a reference for formulating interventions to reduce the care burden of spouses.Methods From June 2021 to June 2022,311 inpatients with post-stroke hemiplegia,along with their spouses,were selected by convenience sampling.These patients were admitted to the North China University of Science and Technology Affiliated Hospital and Kailuan General Hospital.They were investigated using the General Information Questionnaire,Dyadic Coping Inventory(DCI)and Zarit Burden Interview(ZBI).Results The dyadic coping scores of patients and their spouses were(100.05±19.02)points and(86.03±16.62)points,respectively;the care burden score of spouses was(59.49±13.90)points.The care burden scores of spouses were negatively correlated with the dyadic coping scores of patients and their spouses(r1=-0.719,P<0.001;r2=-0.790,P<0.001),and the dyadic coping scores of patients were positively correlated with those of spouses(r=0.840,P<0.001).Model fitting results showed that the care burden of spouses exerted a mediating effect on the relationship between patients'dual dyadic coping and their spouses'dyadic coping(β=0.264,P<0.001),accounting for 30.14%of the total effect.Conclusion Patients with post-stroke hemiplegia have a low level of dyadic coping,which directly affects the dyadic coping level of their spouses or indirectly through the care burden of their spouses.Healthcare providers can improve the dyadic coping levels of patients with post-stroke hemiplegia and their spouses,reduce the care burden of their spouses,and promote their mental health by developing targeted interventions.