收稿日期: 2025-05-20
网络出版日期: 2025-11-17
基金资助
黑龙江省中医药科研项目(2018069)
Mediating effect of inner strength between family resilience and functional exercise compliance in stroke patients with hemiplegia
目的 探讨脑卒中偏瘫患者内在力量在家庭复原力与功能锻炼间的中介效应。 方法 采用方便抽样法，于2024年10月—2025年4月选取哈尔滨医科大学附属第二医院康复科接受治疗的脑卒中偏瘫患者为调查对象。采用一般资料调查表、内在力量量表、家庭复原力评定量表及功能锻炼依从性问卷对其进行问卷调查。 结果 310例脑卒中偏瘫患者内在力量得分为（79.56±11.99）分，家庭复原力得分为（89.27±9.35）分，功能锻炼依从性得分为（36.60±5.62）分，患者依从率为57.19%，处于中等水平。Pearson相关性分析显示，脑卒中偏瘫患者内在力量与家庭复原力得分呈正相关（r=0.420，P<0.001），内在力量与功能锻炼依从性呈正相关（r=0.616，P<0.001），家庭复原力与功能锻炼依从性呈正相关（r=0.410，P<0.001）。内在力量在脑卒中偏瘫患者家庭复原力与功能锻炼依从性间起部分中介作用，中介效应占总效应的27.20%。 结论 脑卒中偏瘫患者家庭复原力可通过加强患者内在力量间接影响其功能锻炼依从性，促进患者康复。
徐博然 , 杨金丽 , 刘昕 , 邹子奇 . 脑卒中偏瘫患者内在力量在家庭复原力与功能锻炼依从性间的中介效应分析[J]. 中华护理教育, 2025 , 22(11) : 1390 -1396 . DOI: 10.3761/j.issn.1672-9234.2025.11.017
Objective To explore the mediating effect of inner strength between family resilience and functional exercise in stroke patients with hemiplegia. Methods A convenient sampling method was used to select stroke patients with hemiplegia who received treatment in the Rehabilitation Department of the Second Affiliated Hospital of Harbin Medical University from October 2024 to April 2025 as the survey subjects. A questionnaire survey was conducted using general information questionnaire，Inner Strength Scale，Family Resilience Assessment Scale，and Exercise Adherence Questionnaire. Results The internal strength score of 310 stroke patients with hemiplegia was（79.56±11.99） points，the family resilience score was（89.27±9.35） points，the functional exercise compliance score was（36.60±5.62） points，and the patient compliance rate was 57.19%，which is at a moderate level. Pearson correlation analysis showed that there was a positive correlation between intrinsic strength and family resilience scores in stroke patients with hemiplegia（r=0.420，P<0.001），intrinsic strength and functional exercise compliance（r=0.616，P<0.001），and family resilience and functional exercise compliance（r=0.410，P<0.001）. Internal strength partially mediates the relationship between family resilience and functional exercise compliance in stroke patients with hemiplegia，with the mediating effect accounting for 27.20% of the total effect. Conclusion The family resilience of stroke patients with hemiplegia can indirectly influence their functional exercise compliance and promote their functional recovery by strengthening their internal strength.
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