Research On The Status And Influencing Factors Of Family Resilience To Stroke Patients

Objective:The status quo of family resilience of stroke patients was preliminarily investigated by questionnaire survey,and the correlation between family resilience of stroke patients and self-efficacy of disease management,caregiver burden,family function and social support was analyzed,and the influencing factors of family resilience of stroke patients were discussed.Through qualitative research more detailed explanation of the first phase of the survey,detailed understanding of stroke patients’ families art form specific inhibitors,explore possible promoting factors,help families at risk of stroke play its potential,and actively respond to threats and challenges,adapt to the change of internal and external environment,so as to promote the family each member’s growth and development.Methods:In this study,a mixed study method of explanatory time sequence design was used to select families of stroke patients who had discharged from the department of Neurology of a third-grade grade A hospital in Shanxi and had been readmitted for follow-up review and met the inclusion criteria as research objects.The first stage used the general population sociological data questionnaire,family Resilience Rating Scale,chronic disease self-management effectiveness Scale,Caregiver burden rating Scale,family function scale and social support rating scale as research tools to conduct a questionnaire survey of patients’ families.Excel software was used to input the data of the questionnaire results,SPSS26.0 software was used for statistical analysis of the data,descriptive statistical analysis,Chi-square test,T test and other statistical analysis methods were used to obtain the statistical results of the questionnaire.The second phase,design qualitative research to quantitative interpretation,according to the results of the questionnaire survey to develop a semi-structured interview outline,purposeful selection in the survey of stroke patients’ families as interview object,based on principles of data saturation,semi-structured interviews,Colazzi seven step analysis method is adopted to improve the data analysis,digging the theme,qualitative analysis results are obtained.In the third stage,the quantitative and qualitative results are comprehensively analyzed to obtain more detailed insights.Results:1.The scores of family resilience were(185.33±24.78),including(66.15±8.45)points for family belief and(119.17±16.47)points for family scale.The scores of family stress tolerance and its dimensions in stroke patients were above 3.0,and the family stress tolerance was above medium level.2.The total score of disease management self-efficacy in stroke patients ranged from 0 to 10 points,with an average of(5.61±1.26)points,showing a medium and low level.3.The burden score of family caregivers was(35.83±20.92),in which individual burden and responsibility burden were(23.36±13.43)and(12.47±5.23)respectively.The family care burden of stroke patients was at severe level,accounting for 47.5%.4.The total family function score ranged from 13 to 41,with an average score of(27.72±5.16)and an average score of(2.31±0.43),among which the item "we depend on each other" scored the lowest.5.The scores of family social support of stroke patients ranged from 23 to 59 points,with an average score of(40.46±7.52)points,and 65.9% of the patients’ families were in the middle level.6.Univariate analysis results: There were significant statistical differences in the total family stress tolerance scores of stroke patients in six aspects: marital status,medical expense payment method,stroke course,education level of caregivers,work status and per capita monthly income of family(P < 0.05).7.Correlation analysis results: The family resilience,family belief and family strength of stroke patients were positively correlated with the total score of self-efficacy,disease symptom management efficiency,disease common management efficiency,total score of social support,objective support and subjective support,and negatively correlated with family function and care burden and its two dimensions.8.Multiple linear regression analysis results: there are eight variables into the regression equation,including: family functioning,caregiver burden score,personal burden,objective support,subjective support,self-efficacy scores and the circumstance of working of the patients’ medical expenses payment,caregivers,these variables can be accumulated to explain 63.6% of the total variation of cerebral apoplexy patients family art force9.Qualitative interview and finally extract 4 themes: loss of independence and certainty;Facing threats and challenges;Seeking family advantage resources;Adopt coping strategies.Conclusion:1.The family resilience of stroke patients was above medium level,and the family resilience of stroke patients was affected by family function,caregiver burden total score,personal burden,objective support,subjective support,self-efficacy total score,payment mode of patients’ medical expenses,and caregiver’s working situation.2.Medical personnel should identify the protective factors and risk factors of family adaptation of stroke patients,and formulate intervention measures from individual level,family level,society level and disease treatment level to improve family adaptability and coping ability to disease.