Jiang Ning, Feng Ling, Song Na, Ye Yansheng, Wei Baojian, Tian Tian, Chen Ningsu, Li Yuchen, Jiang Xiaolian
West China School of Nursing/West China Hospital, Sichuan University, Chengdu, Sichuan, China; School of Nursing, Shandong First Medical University, Taian, Shandong, China.
Department of Neurology/West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Geriatr Nurs. 2025 May-Jun;63:16-25. doi: 10.1016/j.gerinurse.2025.02.013. Epub 2025 Mar 22.
Stroke is the leading cause of death and disability in Chinese adults. Self-management is closely related to stroke prognosis. This study was to investigate the relationship between patient activation and stroke survivors' self-management and the serial mediating role of social support and resilience. This cross-sectional study recruited 611 stroke survivors from tertiary public hospitals in four provinces in China. The serial mediating effect of social support and resilience was estimated by the SPSS Process 4.0 plug-in macro Model 6. Patient activation indirectly influenced self-management via social support (b = 0.109); resilience alone moderated the relationship between patient activation and self-management (b = 0.094); and both social support and resilience serially mediated the associations between patient activation and self-management (b=0.031). The results suggest that health care providers could encourage patient activation, enhance resilience, and cultivate a positive environment of social support to improve self-management among stroke survivors.
中风是中国成年人死亡和残疾的主要原因。自我管理与中风预后密切相关。本研究旨在探讨患者激活与中风幸存者自我管理之间的关系以及社会支持和心理弹性的系列中介作用。这项横断面研究从中国四个省份的三级公立医院招募了611名中风幸存者。采用SPSS Process 4.0插件宏模型6估计社会支持和心理弹性的系列中介效应。患者激活通过社会支持间接影响自我管理（b = 0.109）；单独心理弹性调节患者激活与自我管理之间的关系（b = 0.094）；社会支持和心理弹性都系列中介患者激活与自我管理之间的关联（b = 0.031）。结果表明，医疗保健提供者可以鼓励患者激活，增强心理弹性，并营造积极的社会支持环境，以改善中风幸存者的自我管理。
