Department of Neurosurgery, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China.
Front Public Health. 2022 Apr 26;10:738634. doi: 10.3389/fpubh.2022.738634. eCollection 2022.
The coronavirus disease-19 (COVID-19) pandemic may result in detrimental consequences for stroke patient's wellbeing. Family functioning and optimism could help stroke patients cope with crises leading to possible improvements in life satisfaction. This study aims to explore the protective effects of family functioning and optimism on life satisfaction among stroke patients during the COVID-19 pandemic in China. This study was designed as a cross-sectional survey. A total of 207 stroke inpatients who were receiving pharmacotherapy and rehabilitation in general public hospital of Liaoning province during the COVID-19 pandemic in China were consecutive selected and interviewed by online questionnaires via the WeChat platform effectively from April 8 to 30, 2020. The scales included: Satisfaction with Life Scale (SWLS), Family Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) Scale and Revised Life Orientation Test (LOT-R). Hierarchical multiple regression (HMR) analysis was conducted to test the associated factors of life satisfaction. Stroke patient's life satisfaction was at a high level (Mean = 26.46, SD = 6.23) during the pandemic. Stroke patient's residence, duration of stroke, stroke type, and community shut down measures were the strong predictors of life satisfaction. Family functioning and optimism increased life satisfaction among stroke patients. This study contributes to the research on the association between family functioning and optimism on life satisfaction among stroke patients during the COVID-19 pandemic. Interventions that improve family functioning and enhance optimism should be provided in order to elevate life satisfaction for stroke patients.
新型冠状病毒肺炎（COVID-19）大流行可能对脑卒中患者的健康产生不利影响。家庭功能和乐观主义可以帮助脑卒中患者应对危机，从而可能提高生活满意度。本研究旨在探讨 COVID-19 大流行期间家庭功能和乐观主义对中国脑卒中患者生活满意度的保护作用。本研究设计为横断面调查。2020 年 4 月 8 日至 30 日，采用在线问卷通过微信平台对辽宁省某综合医院正在接受药物治疗和康复治疗的 207 名脑卒中住院患者进行连续选择和访谈。量表包括：生活满意度量表（SWLS）、家庭适应、伙伴关系、成长、情感和解决（APGAR）量表和修订后的生活取向测验（LOT-R）。采用分层多元回归（HMR）分析生活满意度的相关因素。在大流行期间，脑卒中患者的生活满意度处于较高水平（Mean=26.46，SD=6.23）。脑卒中患者的居住地、脑卒中持续时间、脑卒中类型和社区关闭措施是生活满意度的强预测因子。家庭功能和乐观主义增加了脑卒中患者的生活满意度。本研究有助于研究 COVID-19 大流行期间家庭功能和乐观主义对脑卒中患者生活满意度的关系。应提供改善家庭功能和增强乐观主义的干预措施，以提高脑卒中患者的生活满意度。
