Mediating effect of rumination between self-perceived burden and stigma in stroke patients
10.3760/cma.j.cn115682-20240307-01178
- VernacularTitle:反刍性沉思在脑卒中患者自我感受负担与病耻感间的中介作用
- Author:
Peng ZHAO
1
;
Lina GUO
;
Yuanli GUO
;
Miao WEI
;
Mengyu ZHANG
;
Yuying XIE
;
Xinxin ZHOU
;
Qingyang LI
;
Han CHENG
;
Yanjin LIU
Author Information
1. 郑州大学护理与健康学院，郑州 450001
- Keywords:
Stroke;
Self-perceived burden;
Stigma;
Rumination;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2024;30(25):3382-3387
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of rumination between self-perceived burden (SPB) and stigma in stroke patients, so as to provide theoretical basis for the development of targeted nursing interventions in clinical practice.Methods:In September 2022, cluster sampling was used to select 1 126 stroke patients admitted to Department of Neurology of five ClassⅢ Grade A hospitals in Henan Province as subjects. General Information Questionnaire, Self-Perceived Burden Scale (SPBS), Stroke Stigma Scale (SSS), and Chinese Version of Event Related Rumination Inventory (C-ERRI) were used to investigate stroke patients. Pearson correlation analysis was used to explore the correlation between SPB, rumination, and stigma. AMOS 28.0 software was used to establish the structural equation model, and Bootstrap method was used to test the mediating effect.Results:A total of 1 126 questionnaires were distributed, and 1 026 valid questionnaires were collected, with a valid response rate of 91.12% (1 026/1 126). SPBS score of 1 026 stroke patients was (28.68±8.32), the SSS score was (40.53±9.48) and the C-ERRI score was (25.43±12.62). Pearson correlation analysis showed that SPB in stroke patients was positively correlated with stigma and rumination ( P<0.01), and rumination was positively correlated with stigma ( P<0.01). Bootstrap mediating effect test showed that rumination partially mediated the relationship between SPB and stigma in stroke patients, accounting for 55.15% of the total effect. Conclusions:SPB of stroke patients both directly affect stigma and indirectly affect stigma through rumination. Clinical nursing workers should promptly evaluate patients' SPB, pay attention to the mediating role of rumination, develop effective psychological intervention programs, implement personalized and targeted nursing measures, relieve patients' stigma, and improve treatment and rehabilitation compliance.
