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社会支持与自我效能对沙特阿拉伯中风后患者日常生活活动能力的影响:一项横断面研究

Impact of Social Support and Self-Efficacy on Activity of Daily Living among Post-Stroke Patients in Saudi Arabia: A Cross-Sectional Study.

作者信息

Nahari Ahmed, Alsaleh Ali Matoug

机构信息

Medical Surgical Department, College of Nursing, King Saud University, Riyadh 11362, Saudi Arabia.

National Neuroscience Institute, King Fahad Medical City, Riyadh 11525, Saudi Arabia.

出版信息

Healthcare (Basel). 2024 Aug 7;12(16):1564. doi: 10.3390/healthcare12161564.

Abstract

This study employed a cross-sectional design to explore the impact of social support and self-efficacy on activity of daily living (ADL) among post-stroke patients in Saudi Arabia and investigate the mediating role of self-efficacy. Data were collected from 158 post-stroke patients across six healthcare facilities in three regions of Saudi Arabia using convenience sampling, between February 2023 and July 2023. The analysis included descriptive statistics, variance analysis, and linear regression using bootstrap methods. PROCESS Macro was used for the mediation model. This study revealed that most participants had high ADL, social support, and self-efficacy levels. Significant negative associations were found between ADL and age ( < 0.001), time since stroke ( = 0.009), and stroke history ( < 0.001), while significant positive associations were observed with educational background ( = 0.049), employment status ( < 0.001), and self-efficacy ( < 0.001). ADL in post-stroke patients was significantly influenced negatively by age ( = 0.025), time since stroke ( = 0.027), and stroke history ( < 0.001), while self-efficacy ( < 0.001) had a positive impact and moderated the relationship between social support and ADL. This study highlights the physical and psychosocial aspects affecting post-stroke patients, identifies key areas for enhancing their experiences, and informs the development of targeted interventions to address their comprehensive needs.

摘要

本研究采用横断面设计,以探讨社会支持和自我效能感对沙特阿拉伯中风后患者日常生活活动(ADL)的影响,并调查自我效能感的中介作用。在2023年2月至2023年7月期间,采用便利抽样的方法,从沙特阿拉伯三个地区的六个医疗机构的158名中风后患者中收集数据。分析包括描述性统计、方差分析以及使用Bootstrap方法的线性回归。使用PROCESS宏进行中介模型分析。本研究表明,大多数参与者的ADL、社会支持和自我效能感水平较高。研究发现,ADL与年龄(<0.001)、中风后时间(=0.009)和中风病史(<0.001)之间存在显著负相关,而与教育背景(=0.049)、就业状况(<0.001)和自我效能感(<0.001)之间存在显著正相关。中风后患者的ADL受到年龄(=0.025)、中风后时间(=0.027)和中风病史(<0.001)的显著负面影响,而自我效能感(<0.001)具有积极影响,并调节了社会支持与ADL之间的关系。本研究强调了影响中风后患者的身体和心理社会方面,确定了改善他们体验的关键领域,并为制定满足其综合需求的针对性干预措施提供了依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f78e/11353985/91625f622ad2/healthcare-12-01564-g001.jpg

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