Liu Zhiwei, Zhang Zhenxiang, Wang Wenru, Ping Zhiguang, Chen Suyan, Yuan Yan, Zhang Weihong, Li Xin, Mei Yongxia
School of Nursing and Health, Zhengzhou University, 101 Science Avenue, Zhengzhou, Henan 450001, P. R. China.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore City, Singapore.
Eur J Cardiovasc Nurs. 2025 Jan 30;24(1):128-138. doi: 10.1093/eurjcn/zvae130.
To explore the mediating role of relationship satisfaction between communication patterns and benefit findings in stroke couples using the actor-partner interdependence mediation model.
A cross-sectional study was conducted from October 2022 to April 2023 in China. Based on the actor-partner interdependence mediation model, we used structural equation modelling to explore the mediating role of relationship satisfaction of stroke patients and their spouses in communication patterns and benefit findings. A total of 381 stroke couples (patients, 61.4% male, mean age 54.06; caregivers, mean age 53.58) were included in the data analysis. Actor effects showed that stroke couples' relationship satisfaction mediated each of their own three communication patterns (constructive communication, demand/withdraw communication, and mutual avoidance) and benefit findings. In addition, patients' relationship satisfaction mediated patient demand-spouse withdraw and spouses' benefit findings. Partner effect showed that patients' relationship satisfaction mediated the association between their own three communication patterns and spouses' benefit findings. Patients' relationship satisfaction mediated the association between patient demand-spouse withdraw and patients' benefit findings. Moreover, spouses' relationship satisfaction mediated the association between the two communication avoidance patterns exhibited by patients (spouse demand-patient withdraw and mutual avoidance) and the spouses' benefit findings.
The results have demonstrated a reciprocal influence on benefit findings between stroke patients and their spouses. The communication patterns within these couples have impacted not only their own benefit findings but also those of their spouses, with relationship satisfaction playing a mediating role.
采用行为者-伴侣相互依赖中介模型，探讨沟通模式与脑卒中患者夫妻获益感之间关系满意度的中介作用。
于2022年10月至2023年4月在中国进行了一项横断面研究。基于行为者-伴侣相互依赖中介模型，我们采用结构方程模型来探讨脑卒中患者及其配偶关系满意度在沟通模式和获益感中的中介作用。共有381对脑卒中夫妻（患者中男性占61.4%，平均年龄54.06岁；照顾者平均年龄53.58岁）纳入数据分析。行为者效应表明，脑卒中夫妻的关系满意度介导了他们各自的三种沟通模式（建设性沟通、需求/退缩沟通和相互回避）与获益感之间的关系。此外，患者的关系满意度介导了患者需求-配偶退缩以及配偶的获益感。伴侣效应表明，患者的关系满意度介导了其自身三种沟通模式与配偶获益感之间的关联。患者的关系满意度介导了患者需求-配偶退缩与患者获益感之间的关联。此外，配偶的关系满意度介导了患者表现出的两种沟通回避模式（配偶需求-患者退缩和相互回避）与配偶获益感之间的关联。
结果表明脑卒中患者与其配偶在获益感上存在相互影响。这些夫妻间的沟通模式不仅影响了他们自身的获益感，也影响了配偶的获益感，关系满意度起到了中介作用。
