Nursing and Health School, Zhengzhou University, Zhengzhou City, Henan Province, China.
Academic of Medical Science, Zhengzhou University, Zhengzhou City, Henan Province, China.
Nurs Open. 2023 Jul;10(7):4515-4525. doi: 10.1002/nop2.1695. Epub 2023 Apr 4.
To investigate the relationship between stroke survivors' perceptions of recurrence risk, coping styles and depression state, and the role coping styles play in mediating that relationship.
A cross-sectional descriptive study.
From one hospital in Huaxian, China, 320 stroke survivors were randomly selected as a convenience sample. In this research, the Simplified Coping Style Questionnaire, the Patient Health Questionnaire-9 and the Stroke Recurrence Risk Perception Scale were all used. Structural equation modelling and correlation analysis were used to analyse the data. This research followed the EQUATOR and STROBE checklists.
There were 278 valid survey responses. There were mild to severe depressive symptoms in 84.8% of stroke survivors. In stroke survivors, there was a significant negative relationship (p < 0.01) between the positive coping of perceptions of recurrence risk and their depression state. Recurrence risk perception's impact on depression state was partly mediated, according to mediation studies, by coping style, with the mediation effect accounting for 44.92% of the overall effect.
The connection between perceptions of recurrence risk and depression state was mediated by the coping mechanisms of stroke survivors. A lower degree of depression state among survivors was connected with positive coping to the beliefs of recurrence risk.
调查脑卒中幸存者对复发风险的认知、应对方式与抑郁状态之间的关系，以及应对方式在其中的中介作用。
横断面描述性研究。
本研究从中国华县的一家医院中，采用便利抽样的方法随机抽取了 320 名脑卒中幸存者作为研究对象。本研究采用了简化应对方式问卷、患者健康问卷-9 和脑卒中复发风险认知量表。采用结构方程模型和相关分析对数据进行分析。本研究遵循了 EQUATOR 和 STROBE 清单。
共回收有效问卷 278 份。84.8%的脑卒中幸存者存在轻至重度抑郁症状。在脑卒中幸存者中，对复发风险的认知与积极应对之间存在显著的负相关（p<0.01）。中介研究表明，复发风险认知对抑郁状态的影响部分通过应对方式介导，中介效应占总效应的 44.92%。
脑卒中幸存者对复发风险的认知与抑郁状态之间的关系是通过应对机制介导的。幸存者的抑郁状态越低，对复发风险的认知越积极。
