Correlation Of Sense Of Coherence,family Function And Self-perceived Burden By Stroke Patients

Objective:This study aims to investigate sense of coherence,family function and self-perceived burden in stroke patient,also to learn the correlation among sense of coherence、family function and self-perceived burden in stroke patients.Then explore the main factors that influence the patients self-perceived burden and clarify the mechanism of sense of coherence and family function on the self-perceived burden.All of this can help to provide suggestions for stroke patients on mitigating their self-perceived burden.In addition,all of this can provide theoretical reference for further study.Methods:This study applies cross-sectional investigation method.From December 2018 to July 2019 we picked 230 cases of cerebral apoplexy patients by attribute-abstract from neurology ward four first-class ternary hospitals in Jilin province for investigation.By the use of Sense of Coherence-13(SOC-13),Family Adaptability and Cohesion Evaluation Scales(FACES Ⅱ-CV),Self-Perceived Burden Scale(SPBS),respectively in patients with sense of coherence,family function and self-perceived burden,will collect the data processing using SPSS 19.0 statistical software package and AMOSS22.0 statistical software package.Results:(1)In this study,the total score of sense of coherence of stroke patients was(64.80±8.40),and the sense of coherence of stroke patients with different marital status,educational level,family per capita monthly income and medical expenses payment method had statistical significance(P<0.05).(2)The scores of family intimacy and family adaptability of stroke patients were(68.70±9.05)and(44.68±7.98),respectively.The average monthly income of different families had statistical significance in family intimacy and adaptability(P<0.05),There was statistical significance in the family adaptability of stroke patients with different marital status,educational level,family per capita monthly income and medical expense payment method(P<0.05).(3)The score of self-perceived burden of stroke patients was(30.77±6.00).There was statistical significance in the self-perceived burden of stroke patients with different gender,marital status,educational level,family per capita monthly income,medical expenses payment method,degree of understanding of the disease,and main caregivers in hospital(P<0.05).(4)The scores of sense of coherence in stroke patients were positively correlated with the scores of family function(r=0.544,P<0.01),negatively correlated with the scores of self-perceived burden(r=-0.652,P<0.01),and negatively correlated with the scores of family function and self-perceived burden(r=-0.569,P<0.01).(5)Sense of coherence,family adaptability,educational level,gender,and understanding of the disease were all included in the regression equation affecting the self-perceived burden of stroke patients,and 52.6%of the variance of self-perceived burden could be explained jointly(F=51.765,P<0.001).(6)Sense of coherence negatively predicts self-perceived burden,family function negatively predicts self-perceived burden,and sense of coherence plays a part of mediating role in family function and self-perceived burden.Conclusion:(1)The sense of coherence of stroke patients is at a medium low level,while the self-perceived burden of stroke patients is at a medium level.(2)The higher the sense of coherence of stroke patients,the better the family function;The higher the sense of coherence and family function,the lighter the self-perceived burden.(3)The important factors inflluencing the self-perceived burden of stroke patients include sense of coherence,family adaptability,educational level,gender,and understanding of the disease.(4)The family function of stroke patients has a negative predictive effect on the self-perceived burden,and the sense of coherence has a negative predictive effect on the self-perceived burden.Besides,the sense of coherence is the mediating variable of the impact of family function on the self-perceived burden.