四川精神卫生2024，Vol.37Issue(3)：255-261,7.DOI:10.11886/scjsws20230619003
脑卒中患者应对方式与心理痛苦的关系:智谋的作用路径
Relationship between coping style and psychological distress in stroke patients:the pathway of resourcefulness
摘要
Abstract
Background Stroke patients commonly experience varying degrees of psychological distress.Previous studies have shown that the psychological distress of stroke patients is closely related to their coping styles and resourcefulness.However,the path of wisdom in coping style and psychological pain of stroke patients is still unclear.Objective To explore the path of resourcefulness between coping styles and psychological distress in stroke patients,so as to provide insights for interventions targeting psychological distress.Methods A total of 350 patients who met the diagnostic criteria for stroke according to the Diagnostic Criteria of Cerebrovascular Diseases in China(version 2019)and were admitted to the neurology departments of two tertiary grade-A hospitals in Luzhou City from January to May 2023 were selected as the research subjects.Basic information was collected using a self-designed questionnaire,and Resourcefulness Scale(RS),Medical Coping Mode Questionnaire(MCMQ)and Distress Thermometer(DT)were used for assessment.Pearson correlation analysis was conducted to examine the correlation between the scores of each scale.Model 4 of the Process 3.4.1 program was employed to analyze the path of resourcefulness between coping styles and psychological distress,and the Bootstrap method was used to test the mediation effects.Results The DT score showed a negative correlation with the confrontation and RS scores(r=-0.581,-0.716,P<0.01),and a positive correlation with the avoidance and resignation scores(r=0.432,0.758,P<0.01).The confrontation score was positively correlated with RS score(r=0.700,P<0.01),while the avoidance and resignation scores were negatively correlated with RS score(r=-0.460,-0.566,P<0.01).Resourcefulness might serve as a mediating path between confrontation,avoidance,resignation,and psychological distress,with the effect value of-0.359,0.203 and 0.183,accounting for 81.78%,62.65%and 27.07%of the path effect,respectively.Conclusion The coping styles of stroke patients can directly affect their psychological distress,and can also indirectly influence it through resourcefulness.Resourcefulness may play a mediating role between coping styles and psychological distress.关键词
脑卒中/应对方式/智谋/心理痛苦Key words
Stroke/Coping style/Resourcefulness/Psychological distress分类
心理学引用本文复制引用
刘霜,黄显义,刘艳,岳洁,李玉,陈丽..脑卒中患者应对方式与心理痛苦的关系:智谋的作用路径[J].四川精神卫生,2024,37(3):255-261,7.基金项目
自贡市哲学社会科学重点研究基地健康人文研究中心(项目名称:后疫情时代脑卒中失能人群恐惧疾病进展的风险预测模型构建及验证,项目编号:JKRWY22-27) Funded by Health Humanities Research Center,Zigong Key Research Base for Philosophy and Social Sciences(number,JKRWY22-27) （项目名称:后疫情时代脑卒中失能人群恐惧疾病进展的风险预测模型构建及验证,项目编号:JKRWY22-27）
