The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
School of Nursing, Xinxiang Medical University, Xinxiang, China.
J Clin Nurs. 2024 Oct;33(10):3954-3968. doi: 10.1111/jocn.17046. Epub 2024 Feb 13.
To investigate empirically the direct effect and potential mechanism of family resilience on patient-reported outcomes among young stroke dyads in China.
Young patients with stroke have been becoming an important public health issue. According to relevant theories and previous studies, we found that family resilience might play an important role in patient's symptoms. However, it is less clear about the specific relationship and potential mechanisms of these two variables.
We used a prospective cross-sectional design.
A multi-item questionnaire was used to assess the constructs of interest. Researchers progressively constructed and validated conditional process models. The PROCESS macro was used to verify the research hypotheses.
A total of 560 questionnaires were collected in this study. We found that family resilience of stroke patients and their spouses had a direct effect on the physical, psychological and social aspects of patient-reported symptoms. We further revealed that caregiver preparedness partially mediated the relationship between family resilience and patient's symptoms in stroke patient-spouse dyads, while perceived social support moderated the relationship between caregiver preparedness and patient's symptoms. Finally, we observed that the impact of caregiver readiness and social support on patients' symptoms predominantly manifested in physical and physiological outcomes.
Our research provides evidence about the positive impact of family resilience on patient-reported symptoms in young stroke dyads. Meanwhile, it further revealed how caregiver preparedness and perceived social support may play out in the relationship.
Our research introduces a novel perspective and pathway to enhance short-term recovery outcomes for patients. It also furnishes clinicians and nurses with evidence to guide the implementation of interventions aimed at improving patient health outcomes and facilitating smoother transitions from the hospital to home.
What problem did the study address? Families play a crucial role in a patient's recovery process from illness, with family resilience serving as an important force for families to overcome adversity. However, the impact on patient symptoms and the underlying mechanisms of this relationship are uncertain. Empirical research is required to validate these aspects. What were the main findings? Family resilience has a positive impact on the physical, psychological and social aspects of patient-reported symptoms in young stroke dyads. Both the actor effect and partner effect are supported. The impact of caregiver readiness and social support on patient-reported symptoms is primarily observed in physical and physiological outcomes. Where and on whom will the research have an impact? This study offers a novel approach to enhance the short-term recovery of stroke patients. The researchers believe that the findings of this study will play an even more significant role during patients' transition from the hospital to home.
This study followed the STROBE statement of cross-sectional studies.
The study was conducted by patients, their spouses, healthcare professionals and the research team.
在中国年轻脑卒中患者的家庭韧性与患者报告结果之间，实证调查家庭韧性对患者报告结果的直接影响及其潜在机制。
年轻脑卒中患者已成为一个重要的公共卫生问题。根据相关理论和以往研究，我们发现家庭韧性可能对患者的症状产生重要影响。然而，这两个变量之间的具体关系和潜在机制尚不清楚。
我们采用了前瞻性的横断面设计。
采用多项目问卷评估感兴趣的结构。研究人员逐步构建和验证条件过程模型。使用 PROCESS 宏验证研究假设。
本研究共收集了 560 份问卷。我们发现，脑卒中患者及其配偶的家庭韧性对患者报告症状的身体、心理和社会方面有直接影响。我们进一步发现，照顾者准备度部分中介了家庭韧性与脑卒中患者-配偶对患者症状的关系，而感知社会支持调节了照顾者准备度与患者症状的关系。最后，我们观察到照顾者准备度和社会支持对患者症状的影响主要表现在身体和生理结果上。
本研究为家庭韧性对年轻脑卒中患者报告症状的积极影响提供了证据，同时进一步揭示了照顾者准备度和感知社会支持在这种关系中的作用。
本研究为增强患者的短期康复效果提供了一个新的视角和途径，为临床医生和护士提供了指导，以实施旨在改善患者健康结果和促进从医院到家庭顺利过渡的干预措施。
研究解决了什么问题？家庭在患者从疾病中康复的过程中起着至关重要的作用，家庭韧性是家庭克服逆境的重要力量。然而，家庭韧性对患者症状的影响及其内在机制尚不确定，需要进行实证研究来验证这些方面。
主要发现是什么？家庭韧性对年轻脑卒中患者对自身报告症状的身体、心理和社会方面有积极影响，支持主体和配偶的作用。照顾者准备度和社会支持对患者报告症状的影响主要表现在身体和生理结果上。
研究将在哪里以及对谁产生影响？本研究为增强脑卒中患者的短期康复提供了一种新方法。研究人员认为，本研究的发现将在患者从医院到家庭的过渡期间发挥更为重要的作用。
本研究遵循 STROBE 声明的横断面研究。
该研究由患者、其配偶、医护人员和研究团队共同开展。
