He Yueyue, Wang Rui, Mo Linqi, Feng Ling
Department of Neurology West China Hospital Sichuan University, Chengdu, China.
West China School of Nursing Sichuan University, Chengdu, China.
J Nurs Manag. 2024 Jul 5;2024:6774939. doi: 10.1155/2024/6774939. eCollection 2024.
The relationship among comfort, perceived social support, and hope should still be further explored. Clarifying the relationship between the aforementioned variables can enable clinical staff to implement tailored and effective intervention strategies for enhancing the management and quality of care of patients with ischemic stroke.
This study aims to investigate the relationship between comfort, perceived social support, and hope in hospitalized patients with acute ischemic stroke and to explore the mediating effect of perceived social support on comfort and hope.
A correlational cross-sectional study was performed using an online questionnaire. The study was conducted from January to August 2023 among 572 patients with acute ischemic stroke, and finally 534 valid questionnaires were included in the analysis. The general information questionnaire, Modified Barthel Index, Shortened General Comfort Questionnaire, Perceived Social Support Scale, and Herth Hope Index were utilized for investigation. Mediation analysis was performed by structural equation modelling. Indirect effects were evaluated through bootstrapping. Data analysis was performed using the statistical program packages, namely, and .
The comfort, perceived social support, and hope scores of patients with acute ischemic stroke were 94.1 (11.92), 72.74 (10.26), and 40.55 (4.99), respectively. The participants' hope was positively related to comfort ( = 0.531, < 0.001) and perceived social support ( = 0.589, < 0.001). Perceived social support exerts a partial mediating role between comfort and hope, and the mediating effect was 0.159 (95% CI [0.117, 0.210]), accounting for 25.0% of the total effect.
We reported that comfort-directly and indirectly-exerts a positive impact on hope. Particularly, perceived social support enhances the impact of comfort on hope; perceived social support mediates the relationship between comfort and hope. Clinical staff should correctly understand the relationship among the three variables; they should effects targeted strategies to enhance patient comfort and social support, thereby increasing the hope level among ischemic stroke patients and bolstering confidence in disease management. . This study demonstrates that comfort and perceived social support serve as protective factors for hope among ischemic stroke patients. This observation provides evidence supporting the optimization of management for ischemic stroke patients from the perspectives of the cognitive adaptation theory and comfort theory. The findings of this study contribute to a more optimal understanding among clinical caregivers regarding the mechanisms underlying the relationship between comfort, social support, and hope, and it facilitates the adoption of effective intervention strategies for promoting the psychological management of ischemic stroke patients and enhancing patient care quality.
舒适度、感知社会支持与希望之间的关系仍有待进一步探索。明确上述变量之间的关系能够使临床工作人员实施有针对性且有效的干预策略，以加强对缺血性脑卒中患者的管理并提高护理质量。
本研究旨在调查急性缺血性脑卒中住院患者的舒适度、感知社会支持与希望之间的关系，并探讨感知社会支持在舒适度与希望之间的中介作用。
采用在线问卷进行相关性横断面研究。该研究于2023年1月至8月对572例急性缺血性脑卒中患者进行，最终纳入534份有效问卷进行分析。使用一般信息问卷、改良巴氏指数、简化一般舒适度问卷、感知社会支持量表和赫思希望指数进行调查。通过结构方程模型进行中介分析。通过自抽样法评估间接效应。使用统计程序包即 和 进行数据分析。
急性缺血性脑卒中患者的舒适度、感知社会支持和希望得分分别为94.1（11.92）、72.74（10.26）和40.55（4.99）。参与者的希望与舒适度（=0.531，<0.001）和感知社会支持（=0.589，<0.001）呈正相关。感知社会支持在舒适度和希望之间发挥部分中介作用，中介效应为0.159（95%CI[0.117，0.210]），占总效应的25.0%。
我们报告称，舒适度直接和间接地对希望产生积极影响。特别是，感知社会支持增强了舒适度对希望的影响；感知社会支持在舒适度和希望之间起中介作用。临床工作人员应正确理解这三个变量之间的关系；他们应采取有针对性的策略来提高患者的舒适度和社会支持，从而提高缺血性脑卒中患者的希望水平并增强其对疾病管理的信心。 本研究表明，舒适度和感知社会支持是缺血性脑卒中患者希望的保护因素。这一观察结果为从认知适应理论和舒适度理论的角度优化缺血性脑卒中患者的管理提供了证据。本研究结果有助于临床护理人员更全面地理解舒适度、社会支持和希望之间关系的潜在机制，并有助于采用有效的干预策略来促进缺血性脑卒中患者的心理管理并提高患者护理质量。
