Mediating effects of psychological resilience on the relationship between perceived social support and health behavior capacity in patients with ischemic stroke
10.3760/cma.j.cn115624-20240401-00248
- VernacularTitle:心理韧性在缺血性卒中患者领悟社会支持与健康行为能力间的中介效应
- Author:
Yuqing GUO
1
;
Yan XU
;
Bei ZHAO
;
Yali MA
;
Shirong GE
;
Shaomin WANG
Author Information
1. 徐州医科大学附属连云港医院（连云港市第一人民医院）神经内科二病区，连云港 222002
- Publication Type:Journal Article
- Keywords:
Ischemic stroke;
Perceived social support;
Psychological resilience;
Health behavior capacity
- From:
Chinese Journal of Health Management
2025;19(2):140-146
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the mediating effects of psychological resilience on the relationship between perceived social support and health behavior capacity in patients with ischemic stroke.Methods:In this cross-sectional study, 500 patients with ischemic stroke were consecutively recruited using purposive sampling in the First People′s Hospital of Lianyungang between July and September in 2023. The sociodemographic characteristics, perceived social support scale, psychological resilience questionnaire and self-rated abilities for health practices scale in the patients were collected. A total of 500 questionnaires were distributed and 493 questionnaires were collected, of which 473 (95.9%) were valid. The structural equation model was constructed to explore the mediating effects of psychological resilience on the relationship between perceived social support and health behavior capacity in patients with ischemic stroke.Results:Among the 473 patients included in the analysis, there were 254 males and 219 females, with an average age of (66.8±11.4) years. The duration of stroke was less than 3 months for 329 patients (69.6%); the scores for perceived social support, psychological resilience and health behavior capacity was (59.68±11.15), (23.68±6.52), and (60.54±23.52), respectively. Perceived social support exerted significant direct effect ( β=0.334, bias-corrected 95% CI: 0.232-0.438) on health behavior capacity in patients with ischemic stroke, accounting for 63.62% of the total effect. Psychological resilience played a mediating role in the relationship between perceived social support and health behavior capacity ( β=0.191, bias-corrected 95% CI: 0.142-0.248), accounting for 36.38% of the total effect (all P<0.05). Conclusion:The health behavior capacity of patients with ischemic stroke is at a moderately low level, perceived social support may positively affect health behavior capacity through the positive mediating effect of psychological resilience.
