| 刘雯静,陈凝,胡海丹,周文虎,陶秀彬,车恒英.病耻感在中老年脑卒中患者自我效能感与社会疏离感间的中介效应[J].济宁医学院学报,2025,48(6):504-509 |
| 病耻感在中老年脑卒中患者自我效能感与社会疏离感间的中介效应 |
| The mediating effect of stigma on self-efficacy and social isolation in middle-aged and elderly stroke patients |
| 投稿时间：2025-07-31 |
| DOI：10.3969/j.issn.1000-9760.2025.06.005 |
| 中文关键词: 脑卒中;社会疏离感;自我效能感;病耻感;中介效应 |
| 英文关键词: Stroke;Social isolation;Self-efficacy;Stigma;Mediating effect |
| 基金项目:安徽省教育厅2023年高等学校省级质量工程项目(2023kcszsf150) |
| 作者 | 单位 | E-mail | | 刘雯静 | 皖南医学院研究生学院, 芜湖 241002 | | | 陈凝 | 皖南医学院研究生学院, 芜湖 241002 | | | 胡海丹 | 皖南医学院研究生学院, 芜湖 241002 | | | 周文虎 | 皖南医学院研究生学院, 芜湖 241002 | | | 陶秀彬 | 皖南医学院第一附属弋矶山医院护理部, 芜湖 241001 | | | 车恒英 | 皖南医学院第一附属弋矶山医院护理部, 芜湖 241001 | 2722659079@qq.com |
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| 中文摘要: |
| 目的 探讨中老年脑卒中患者病耻感在自我效能感与社会疏离感间的中介效应,明确三者间的关系,改善中老年脑卒中患者的心理健康水平,提高生命质量。方法 采用便利抽样的方法于2024年12月至2025年6月选取芜湖市某三甲医院脑卒中患者为研究对象,采用一般资料量表、社会疏离感量表、慢性病自我效能感量表、脑卒中病耻感量进行调查。结果 中老年脑卒中患者自我效能感、病耻感、社会疏离感得分分别为(31.64±16.01)分、(46.73±17.23)分、(36.05±11.62)分。不同文化程度、居住地、职业状况、家庭人均月收入、合并慢性病种类、是否存在肢体功能障碍的社会疏离感得分比较,差异均有统计学差异(均P＜0.05);自我效能感与社会疏离感、病耻感均呈负相关(r=-0.823,-0.865;均P＜0.05),脑卒中病耻感与社会疏离感呈正相关(r=0.888,P＜0.05)。脑卒中病耻感在自我效能感对社会疏离感的影响存在部分中介效应(β=0.438,P＜0.05),中介效应占比73.37％。结论 中老年脑卒中患者自我效能感既可直接影响社会疏离感,也可通过脑卒中病耻感间接影响社会疏离感。 |
| 英文摘要: |
| Objective To explore the mediating effect of stigma on the relationship between self-efficacy and social isolation among middle-aged and elderly stroke patients,clarify the relationships among these three variables,and ultimately improve psychological health and quality of life in this population. Methods A convenience sampling method was used to recruit stroke patients from a Grade A tertiary hospital in Wuhu city between December 2024 and June 2025.Data were collected using a general information questionnaire,the Social Isolation Scale,the Chronic Disease Self-Efficacy Scale,and the Stroke Stigma Scale. Results The scores for self-efficacy,stigma,and social isolation were 31.64±16.01,46.73±17.23,and 36.05±11.62,respectively.There were statistically significant differences in these scores among patients with different educational levels,places of residence,occupational status,per capita monthly household income,types of comorbid chronic diseases,and presence of limb dysfunction (all P＜0.05). Self-efficacy was negatively correlated with both social isolation and stigma (r=-0.823,-0.865;all P＜0.05),while stigma was positively correlated with social isolation (r=0.888,P＜0.05).Stigma partially mediated the effect of self-efficacy on social isolation (β=0.438,P＜0.05),accounting for 73.37% of the total effect. Conclusion Self-efficacy among middle-aged and elderly stroke patients can directly influence social isolation,and it can also indirectly affect social isolation through the mediating role of stigma. |
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