国际老年医学杂志2026，Vol.47Issue(5)：595-600,6.DOI:10.3969/j.issn.1674-7593.2026.05.007
症状负担在老年脑卒中康复期患者心理韧性与功能锻炼依从性的中介效应
Mediating effect of symptom burden on psychological resilience and functional exercise adherence in elderly stroke patients during rehabilitation
摘要
Abstract
Objective To investigate the relationships among symptom burden,psychological resilience,and functional ex-ercise adherence in elderly stroke patients during the rehabilitation phase.Methods A total of 107 elderly stroke patients in the reha-bilitation period treated in Ruijin-Hainan Hospital Shanghai Jiaotong University School of Medicine from January to November 2025 were selected as the research objects.The patients were investigated and analyzed by general data questionnaire,symptom burden scale of stroke patients,psychological resilience scale and functional exercise adherence scale of stroke patients.Pearson correlation analysis was used to analyze the correlation between symptom burden,psychological resilience and functional exercise adherence.Multivariate linear regression model was used to analyze the influencing factors of functional exercise adherence.The mediating effect was used to analyze the mediating effect of symptom burden between psychological resilience and functional exercise adherence.Results The total scores for functional exercise adherence,symptom burden,and psychological resilience were(37.35±9.42)scores,(2.08±0.76)scores,and(62.44±13.28)scores,respectively.Pearson correlation analysis showed that symptom burden was negatively correlated with functional exercise adherence(r=-0.517,P<0.05),psychological resilience was positively correlated with functional exercise adherence(r=0.424,P<0.05),and symptom burden was negatively correlated with psychological resilience(r=-0.491,P<0.05).Multiple linear regression analysis indicated that age,number of stroke occurrences,NIHSS score,symptom burden,and psy-chological resilience were influencing factors of functional exercise adherence(P<0.05).The mediation model showed a significant direct effect of psychological resilience on functional exercise adherence(effect value was 0.489).Symptom burden played a signifi-cant mediating role between psychological resilience and functional exercise adherence(indirect effect value was 0.130,total effect value was 0.619),accounting for 21.00%of the total effect.Conclusion Symptom burden in elderly stroke rehabilitation patients is at a moderate level,while psychological resilience and functional exercise adherence still require improvement.Symptom burden plays a partial mediating role between psychological resilience and functional exercise adherence.Enhancing psychological resilience and re-ducing symptom burden can effectively improve patients'functional exercise adherence.关键词
老年脑卒中康复期/症状负担/心理韧性/功能锻炼依从性/中介效应Key words
Elderly stroke rehabilitation period/Symptom burden/Psychological resilience/Functional exercise adher-ence/Mediating effect引用本文复制引用
蒋琰,齐峰,杨柳..症状负担在老年脑卒中康复期患者心理韧性与功能锻炼依从性的中介效应[J].国际老年医学杂志,2026,47(5):595-600,6.基金项目
国家自然科学基金资助项目(82573627) （82573627）
