Zhu Yiru, Xu Haiping, Ding Dandan, Liu Yanjin, Guo Lina, Zauszniewski Jaclene A, Wei Miao, Guo Xiaoli
The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052 Henan Province, China.
The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052 Henan Province, China.
Heliyon. 2023 Aug 6;9(8):e18908. doi: 10.1016/j.heliyon.2023.e18908. eCollection 2023 Aug.
To explore the relationships among self-perceived burden, resourcefulness and depression, and to study further whether resourcefulness mediates the effects of self-perceived burden on depression in young and middle-aged stroke patients.
A cross-sectional survey was conducted with 1050 young and middle-aged stroke patients. We used a general demographic questionnaire, Self-Perceived Burden Scale (SPBS), Resourcefulness Scale© (RS) and Hamilton Depression Scale (HAMD) to assess self-perceived burden, resourcefulness, and depression. Statistical methods included correlation analysis, multiple linear regression, and structural equation model.
1018 valid questionnaires were collected with a response rate of 96.95%. Resourcefulness was inversely correlated with self-perceived burden ( = -0.367, < 0.01) and depression ( = -0.625, < 0.01); Self-perceived burden was positively associated with depression ( = 0.698, < 0.01). Multiple linear regression analyses showed that resourcefulness mediated the effects of self-perceived burden on depression; The structural equation model demonstrated that the resourcefulness mediated the relationship between self-perceived burden and depression.
Resourcefulness is a mediator between self-perceived burden and depression. Medical staff adjust the psychological state of stroke patients based on the theory of resourcefulness, thereby improving their problem-solving ability, actively encouraging patients to establish problem-solving strategies, providing disease rehabilitation knowledge and skills, and promoting the improvement of resourcefulness level.
探讨自我感知负担、心理调适能力与抑郁之间的关系，并进一步研究心理调适能力是否在中青年脑卒中患者自我感知负担对抑郁的影响中起中介作用。
对1050例中青年脑卒中患者进行横断面调查。采用一般人口学调查问卷、自我感知负担量表（SPBS）、心理调适能力量表（RS）和汉密尔顿抑郁量表（HAMD）评估自我感知负担、心理调适能力和抑郁情况。统计方法包括相关分析、多元线性回归和结构方程模型。
共收集有效问卷1018份，有效率为96.95%。心理调适能力与自我感知负担（r = -0.367，P < 0.01）和抑郁（r = -0.625，P < 0.01）呈负相关；自我感知负担与抑郁呈正相关（r = 0.698，P < 0.01）。多元线性回归分析显示，心理调适能力在自我感知负担对抑郁的影响中起中介作用；结构方程模型表明，心理调适能力介导了自我感知负担与抑郁之间的关系。
心理调适能力是自我感知负担与抑郁之间的中介变量。医护人员可基于心理调适能力理论调整脑卒中患者的心理状态，从而提高其解决问题的能力，积极鼓励患者建立解决问题的策略，提供疾病康复知识和技能，促进心理调适能力水平的提高。
