中国康复理论与实践2025，Vol.31Issue(5)：601-606,6.DOI:10.3969/j.issn.1006-9771.2025.05.013
心理社会适应在青年脑梗死患者孤独感与疲劳间的中介效应
Mediating effect of psychosocial adaptation on relationship between loneliness and fatigue in young patients with cerebral infarction
摘要
Abstract
Objective To analyze the mediating effect of psychosocial adaptation on the relationship between loneliness and fatigue in young patients with cerebral infarction. Methods A total of 186 patients(aged 18 to 45 years)with cerebral infarction in Hengshui People's Hospital from Febru-ary,2023 to May,2024 were selected.They were investigated with Fatigue Severity Scale(FSS),Univesity of California at Los Angels Loneliness Scale(UCLA)and Psychosocial Adaptation to Illness Scale-self-report ver-sion(PAIS-SR)three months after discharging.The FSS scores were compared among patients with different characteristics.The correlation between the scores of FSS,UCLA and PAIS-SR was analyzed with Pearson's co-efficient.Structural equation modeling was used to analyze the mediating effect of PAIS-SR score on the relation-ship between scores of FSS and UCLA. Results A total of 183 valid questionnaires were returned.The FSS score was(36.78±7.23),the UCLA score was(42.26±9.18),and the PAIS-SR score was(56.62±13.89).There were significant differences in FSS scores among pa-tients with different National Institutes of Health Stroke Scale scores,modified Rankin Scale scores and depres-sion status(F>3.557,P<0.001).The FSS score was positively correlated with the UCLA score(r=0.740,P<0.001)and the PAIS-SR score(r=0.731,P<0.001),while the UCLA score was positively correlated with the PAIS-SR score(r=0.761,P<0.001).The main effect of UCLA score was significant on FSS score(effect size of 0.348),and the mediating effect of PAIS-SR score between UCLA score and FSS score was significant(effect size of 0.154). Conclusion Psychosocial adaptation plays a partial mediating role in the relationship between loneliness and fatigue for young patients with cerebral infarction.Improving psychosocial adaptation may relieve the influence of loneli-ness on fatigue.关键词
脑梗死/青年/疲劳/心理社会适应/孤独感/中介效应Key words
cerebral infarction/youth/fatigue/psychosocial adaptation/loneliness/mediating effect分类
医药卫生引用本文复制引用
王心颖,王晓莉,鲍双振,郑岳林,王勇朝..心理社会适应在青年脑梗死患者孤独感与疲劳间的中介效应[J].中国康复理论与实践,2025,31(5):601-606,6.基金项目
河北省医学科学研究课题计划项目(No.20220453) Supported by Hebei Medical Scientific Research Plan(No.20220453) （No.20220453）
