Mediating effect of illness acceptance between self-compassion and rehabilitation motivation in stroke patients with partial disability
10.3760/cma.j.cn115682-20250428-02238
- VernacularTitle:疾病接受度在脑卒中半失能患者自我同情与康复动机间的中介效应分析
- Author:
Yanli LAI
1
;
Xiaoxia FANG
;
Hongyan LI
;
Liping WANG
;
Fei ZHOU
;
Zhaolin LU
Author Information
1. 新乡市中心医院（新乡医学院第四临床学院）神经内科二（康复医学东院），新乡 453000
- Publication Type:Journal Article
- Keywords:
Stroke;
Disability;
Self-compassion;
Illness acceptance;
Rehabilitation motivation;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(35):4845-4850
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of illness acceptance between self-compassion and rehabilitation motivation in stroke patients with partial disability.Methods:By convenience sampling method, stroke patients who attended the neurology outpatient clinic of Xinxiang Central Hospital from February to December 2024 were selected as the research subjects. The General Information Questionnaire, Self-Compassion Scale (SCS), Chinese version of Acceptance of Illness Scale (AIS-CHI), and Stroke Rehabilitation Motivation Scale (SRMS) were used for the survey. Pearson correlation analysis was applied to analyze the relationships among self-compassion, illness acceptance, and rehabilitation motivation. AMOS 21.0 software was used to establish a structural equation model and verify the mediating effect.Results:A total of 300 questionnaires were distributed, and 289 valid ones were recovered, with an effective recovery rate of 96.33%. Among the 289 stroke patients with partial disability, the total score of SCS was (65.73±5.50), the total score of AIS-CHI was (17.46±5.62), and the total score of SRMS was (77.18±10.97). Pairwise positive correlations were found between self-compassion, illness acceptance, and rehabilitation motivation (all P<0.05). Self-compassion had a direct positive effect on rehabilitation motivation ( β=0.328, P<0.01) and a direct positive effect on illness acceptance ( β=0.439, P<0.01). Illness acceptance played a partial mediating role between self-compassion and rehabilitation motivation, and the mediating effect accounted for 31.38% of the total effect (0.150/0.478) . Conclusions:The levels of self-compassion, illness acceptance, and rehabilitation motivation in stroke patients with partial disability need to be further improved. Illness acceptance exerts a partial mediating effect between self-compassion and rehabilitation motivation. Clinically, the rehabilitation motivation of patients can be enhanced by improving their levels of self-compassion and illness acceptance.
