Chain mediation of psychological resilience and coping styles between social support and psychological distress in elderly stroke patients
10.3760/cma.j.cn115682-20240119-00384
- VernacularTitle:老年脑卒中患者心理弹性和应对方式在社会支持与心理痛苦间的链式中介作用
- Author:
Xinying ZHANG
1
;
Kunjuan JING
;
Bei WANG
;
Lijing BAI
;
Yuejia ZHAO
;
Qingchun ZHAO
Author Information
1. 河北大学护理学院，保定 071000
- Keywords:
Stroke;
Psychological distress;
Social support;
Psychological resilience;
Coping style;
Chain mediation
- From:
Chinese Journal of Modern Nursing
2024;30(26):3579-3584
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the chain mediating role of psychological resilience and coping styles between social support and psychological distress in elderly stroke patients.Methods:Using convenience sampling, 245 elderly stroke patients with their first episode, admitted to the Neurology Department of the Affiliated Hospital of Hebei University from June to July 2023, were recruited as study subjects. A questionnaire survey was conducted using a General Information Questionnaire, Distress Thermometer for Stroke Patients, Perceived Social Support Scale, Connor-Davidson Resilience Scale Short Form, and Medical Coping Modes Questionnaire. Pearson correlation analysis was used to examine the relationships between psychological distress, social support, psychological resilience, and coping styles in elderly stroke patients. Harman's single-factor test was employed to detect common method bias among variables. The PROCESS macro in SPSS software was utilized to test the chain mediation effects.Results:A total of 245 questionnaires were distributed, with 230 valid responses collected, yielding a response rate of 93.9%. Among the 230 elderly stroke patients, the incidence of psychological distress was 23.9% (55/230). Significant correlations were observed among psychological distress, social support, psychological resilience, and coping styles ( P<0.05). Social support influenced psychological distress through the mediation of psychological resilience and confrontational coping, with a total indirect effect of -0.098. The same relationship existed for social support through psychological resilience and avoidant coping, with a total indirect effect of -0.058. Additionally, social support influenced psychological distress through psychological resilience and submissive coping, with a total indirect effect of -0.113. Avoidant coping had a suppressing effect on the influence of social support on psychological distress. Conclusions:Elderly stroke patients experienced moderate to low levels of psychological distress. Psychological resilience and coping styles played a chain-mediating role between social support and psychological distress. Special attention should be given to elderly stroke patients with low levels of social support.
