Mediating effect of coping style on disease perception and pre-hospital delayed behavioral intention in patients with acute ischemic stroke
10.3760/cma.j.cn115682-20230829-00751
- VernacularTitle:应对方式在急性缺血性脑卒中患者疾病感知与院前延迟行为意向间的中介效应
- Author:
Mengdi WANG
1
;
Mengxia CHEN
;
Longjuan YU
;
Lifen GAN
;
Mengting QIAO
;
Jingwen ZHANG
;
Xiaorong HUANG
;
Lingjuan ZHANG
Author Information
1. 海军军医大学第一附属医院临床护理教研室,上海 200433
- Keywords:
Stroke;
Illness perception;
Coping style;
Pre-hospital delayed behavioral intention;
Mediating role
- From:
Chinese Journal of Modern Nursing
2024;30(14):1846-1851
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of coping style on disease perception and pre-hospital delayed behavioral intention in patients with acute ischemic stroke.Methods:This study was a cross-sectional study. From February to July 2023, convenience sampling was used to select 205 patients with acute ischemic stroke admitted to the First Affiliated Hospital of Naval Medical University as the study subject. The survey was conducted using the General Information Questionnaire, Stroke Pre-Hospital Delay Behavior Intention, Brief Illness Perception Questionnaire, and Simplified Coping Style Questionnaire.Results:205 questionnaires were filled out, 195 valid questionnaires, and the validity rate of the questionnaire was 95.1%. The Stroke Pre-Hospital Delay Behavior Intention score of patients with acute ischemic stroke was (63.61±16.12). Pre-hospital delayed behavioral intention in patients with acute ischemic stroke was positively correlated with disease perception and negative coping ( r=0.360, 0.266; P<0.01), and negatively correlated with positive coping ( r=-0.279, P<0.01). The mediating effects of positive and negative coping on disease perception and pre-hospital delayed behavioral intention in ischemic stroke patients were 0.111 and 0.097, respectively, accounting for 26.89% and 23.49% of the total effect. Conclusions:There is a partial mediating effect of coping strategies between disease perception and pre-hospital delayed behavioral intention in ischemic stroke patients. In the process of stroke management, medical and nursing staff can reduce pre-hospital delayed behavioral intentions by improving disease cognition and coping style.