Path analysis of quality of life in stroke patients based on structural equation model
10.3761/j.issn.0254-1769.2023.22.009
- VernacularTitle:基于结构方程模型的脑卒中患者生活质量影响路径分析
- Author:
Shiheng TANG
1
;
Jingshan LIN
;
Yiyang WANG
;
Xiaoxuan QIAO
;
Yuxia LI
Author Information
1. 201203 上海市 上海交通大学医学院附属仁济医院护理部
- Keywords:
Stroke;
Quality of Life;
Root Cause Analysis;
Structural Equation Model;
Nursing Care
- From:
Chinese Journal of Nursing
2023;58(22):2747-2753
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct a structural equation model to analyze the effect of various factors on the quality of life in stroke patients.Methods In this cross-sectional study,a total of 657 stroke patients from 2 ter-tiary A hospitals in Shanghai were enrolled as investigation subjects via convenience sampling methodology.General information questionnaire,Sense of Coherence Scale-13,Perceived Social Support Scale,Medical Coping Modes Questionnaire,National Institutes of Health Stroke Scale,Self-Esteem Scale and Stroke-Specific Quality of Life were utilized as the investigating tools;Mplus 7.4 was used to construct a structural equation model.Results The aver age score of quality of life in stroke patients was(178.30±30.30);neurological status,self-esteem were negatively cor-related with quality of life(P<0.05);sense of coherence,social support,coping style were positively correlated with quality of life(P<0.05);sense of coherence,taking a confrontational approach for coping,yielding and neurological status had a direct impact on quality of life(path coefficients were 0.471,0.169、0.135,-0.089,P<0.05);social sup-port,self-esteem,sense of coherence and neurological status had an indirect impact on quality of life(path coefficients were 0.232,0.108,0.058,-0.058,P<0.001).Conclusion The quality of life in stroke patients is influenced by multi-ple factors interactively,and sense of coherence is an important factor affecting the quality of life;adopting a confron-tational approach as coping styles,good social support and high self-esteem can improve the level of quality of life.