Path analysis of the influencing factors on subjective well-being in stroke patients based on structural equation modeling
10.3760/cma.j.cn211501-20250508-01392
- VernacularTitle:基于结构方程模型的脑卒中患者主观幸福感现状及影响因素分析
- Author:
Shiqing ZHANG
1
;
Xuejun XU
;
Man DENG
;
Yue YANG
;
Xiaocui DUAN
;
Yujiao SHAO
;
Min LI
;
Xiumu YANG
Author Information
1. 蚌埠医科大学护理学院，蚌埠 233030
- Publication Type:Journal Article
- Keywords:
Stroke;
Subjective well-being;
Cognitive reserve;
Social support;
Symptom burden;
Frailty;
Influencing factors;
Structural equation model
- From:
Chinese Journal of Practical Nursing
2025;41(29):2293-2300
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of subjective well-being among stroke patients, and to explore the pathways and effects of influencing factors using structural equation model, so as to provide reference for improving subjective well-being among stroke patients.Methods:From July to November 2024, the stroke patients admitted to the First Affiliated Hospital of Bengbu Medical University, the Second Affiliated Hospital of Bengbu Medical University, Hefei First People′s Hospital were selected by convenience sampling method. A cross-sectional survey was conducted using a general demographic questionnaire, General Well-Being Scale, Cognitive Reserve Index questionnaire, Social Support Rating Scale, Stroke Symptom Cluster Scale, and FRAIL Scale, and AMOS 26.0 was used to analyse the pathways and effects of influencing factors of subjective well-being.Results:A total of 435 questionnaires were collected, 410 were valid.Among 410 cases, 266 case were males, 144 were females, with an age of (65.96 ± 12.15) years. The subjective well-being scores of stroke patients were (72.58 ± 11.66) points. Cognitive reserve and social support were positively correlated with subjective well-being ( r = 0.517, 0.554, both P<0.01), while symptom burden and frailty were negatively correlated with subjective well-being ( r = -0.687, -0.670, both P<0.01). Path analysis showed that symptom burden, frailty, cognitive reserve, and social support had a direct impact on subjective well-being (path coefficients were -0.500, -0.266, 0.148, and 0.144, respectively, all P<0.05), while cognitive reserve, social support, and symptom burden had an indirect impact on subjective well-being (path coefficients were 0.287, 0.249, and 0.108, respectively, all P<0.05). Conclusions:The subjective well-being of stroke patients is influenced by multiple factors, with symptom burden being an important factor affecting subjective well-being. Intervention strategies such as improving cognitive reserve, strengthening social support systems, and preventing frailty can improve the subjective well-being of patients.
