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Analyze The Influencing Factors Of Family Adaptation In Stroke Patients From The Perspective Of Family Resilience

Posted on:2023-02-19Degree:MasterType:Thesis
Country:ChinaCandidate:H YanFull Text:PDF
GTID:2544306833955739Subject:Nursing
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ObjectiveTo understand the status of family function,stressor,family resilience and family adaptation in stroke patients.To analyze the correlation between family function,stressor,family resilience and family adaptation.From the perspective of family resilience,to explore the influencing factors and pathway of family adaptation.It will provide realistic basis for the study of family adaptation in stroke patients,so as to promote the family adaptation level of stroke patients.MethodsFrom August 2020 to March 2021,a total of 308 stroke patients in the Neurology Ward of a third class hospital in Qingdao were selected as the research objects by convenient sampling method.The general data questionnaire,Family APGAR Index(APGAR),Family Inventory of Life Events and Changes(FILE),Family Hardiness Index(FHI)and Family Adaptation Scale(FAS)were used to conduct a questionnaire survey.SPSS 25.0 and Amos 21.0 were used for statistical analysis of data.The main statistical analysis methods included: statistical description,independent sample t test,analysis of variance,Pearson correlation analysis,multiple linear regression analysis and structural equation model.Results1.The scores of family function of stroke patients were(7.60±2.08),68.83% at the level of good function,28.90% at the level of moderate impairment,and 2.27% at the level of severe impairment.The scores of stressor of stroke patients were(8.52±5.63);the scores of family resilience of stroke patients were(58.67±5.59);and the scores of family adaptation were(83.73±18.51).2.The results of independent sample t test and analysis of variance showed that there were significant differences in the scores of family adaptation among stroke patients with different marital status,payment mode,escort type and self-care ability(P<0.05).3.The results of Pearson correlation analysis showed that family function of stroke patients was positively correlated with family resilience and family adaptation(r=0.393,P<0.01;r=0.531,P<0.01).Stressor was negatively correlated with family function,family resilience and family adaptation(r=-0.209,P<0.01;r=-0.128,P< 0.05;r=-0.291,P<0.01).There was a significant positive correlation between family resilience and family adaptation(r=0.386;P<0.01).4.Multiple linear regression analysis showed that self-care ability(β=0.105,P<0.05),family function(β=0.404,P<0.001),stressor(β=-0.167,P<0.001)and family resilience(β=0.187,P<0.001)were the influencing factors of family adaptation in stroke patients.5.The results of structural equation model showed that the total effect of family function on family adaptation was 9.709(β=0.630,P<0.05),the direct effect was 6.673(β=0.433,P<0.05),and the indirect effect was 3.036(β=0.197,P<0.05).Stressor and family resilience were partial parallel mediating effects between family function and family adaptation,and the mediating effect accounted for 31.27%.The effect difference between stressor and family resilience was-0.629,but the 95% CI included 0,so there was no significant differences in scores(P>0.05).Conclusions1.The family function of stroke patients was at a good level,family adaptation was at above medium level,and there was room for improvement.The stressor of stroke patients was at a low level.The family resilience of stroke patients was at a medium level,which needed to be improved and solved urgently.2.There were differences in family adaptation level among stroke patients with different marital status,payment mode,escort type and self-care ability.Self-care ability,family function,stressor and family resilience were the influencing factors of family adaptation in stroke patients.3.Family function of stroke patients could directly and positively affect family adaptation;family function can indirectly affect family adaptation through the partial mediating effect of stressor;and family function can also indirectly affect family adaptation through partial mediating effect of family resilience.There was no significant difference between the mediating effect of stressor and family resilience.Nursing staff should pay equal attention to the mediating effects of stressor and family resilience in stroke patients on family adaptation,and take corresponding intervention measures to improve family function,while reducing stressor and improving family resilience,so as to improve the family adaptation of stroke patients.
Keywords/Search Tags:Stroke, Family function, Stressor, Family resilience, Family adaptation
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