希望水平在脑卒中吞咽障碍患者病耻感与生活质量间的中介效应OA
Mediating Effect of Hope Level on Stigma and Quality of Life in Stroke Patients with Deglutition Disorders
目的 探讨希望水平在脑卒中吞咽障碍患者病耻感与生活质量间的中介效应.方法 采取便利抽样法,选取2024年1月—2025年8月在柳州市中医医院住院治疗的脑卒中吞咽障碍患者作为研究对象.分别采用一般资料调查表、脑卒中患者病耻感量表(SSS)、中文版Herth希望指数量表(HHI)、中文版吞咽生命质量量表(SWAL-QOL)生活质量维度调查患者的一般资料、病耻感、希望水平、生活质量.脑卒中吞咽障碍患者SSS、中文版HHI、中文版SWAL-QOL评分间的相关性分析采用Pearson相关分析;采用Process程序中的Model 4模块验证希望水平在脑卒中吞咽障碍患者病耻感与生活质量间的中介效应.结果 不同年龄、婚姻状况、洼田饮水试验分级及是否留置胃管的脑卒中吞咽障碍患者SWAL-QOL生活质量维度评分比较,差异有统计学意义(P＜0.05).Pearson相关分析结果显示,脑卒中吞咽障碍患者SSS评分与中文版HHI评分(r=-0.559,P＜0.01)、中文版SWAL-QOL生活质量维度评分(r=-0.448,P＜0.01)呈负相关,而中文版HHI评分与中文版SWAL-QOL生活质量维度评分呈正相关(r=0.577,P＜0.01).中介效应模型显示,希望水平在脑卒中吞咽障碍患者病耻感与生活质量间起部分中介效应(中介效应值为-0.886,中介效应占总效应的59.3%).结论 脑卒中吞咽障碍患者病耻感与希望水平、生活质量呈负相关,希望水平与生活质量呈正相关;而希望水平在脑卒中吞咽障碍患者病耻感与生活质量间起部分中介效应.
Objective To explore the mediating effect of hope level on stigma and quality of life in stroke patients with deglutition disorders.Methods Convenience sampling method was used to select stroke patients with deglutition disorders who were hospitalized at Liuzhou Traditional Chinese Medicine Hospital from January 2024 to August 2025 as the research subjects.The General Information Questionnaire,Stigma Scale for Stroke Patients(SSS),Chinese version of Herth Hope Index(HHI),and Chinese version of Swallowing-related Quality of Life(SWAL-QOL)quality of life dimension were used to investigate the general information,stigma,hope level,and quality of life of patients.The correlation analysis of SSS,Chinese version of HHI,and Chinese version of SWAL-QOL quality of life dimension scores in stroke patients with deglutition disorders was conducted using Pearson correlation analysis;the Model 4 module in the Process program was used to verify the mediating effect of hope level on stigma and quality of life in stroke patients with deglutition disorders.Results There were statistically significant differences in Chinese version of SWAL-QOL quality of life dimension scores among the stroke patients with deglutition disorders with different ages,marital status,Wada drinking water test grading,and whether indwelling gastric tube(P<0.05).Pearson correlation analysis results showed that the SSS scores of stroke patients with deglutition disorder were negatively correlated with the Chinese version of HHI scores(r=-0.559,P<0.01)and the Chinese version of SWAL-QOL quality of life dimension scores(r=-0.448,P<0.01),while the Chinese version of HHI scores were positively correlated with the Chinese version of SWAL-QOL quality of life dimension scores(r=0.577,P<0.01).The mediation effect model showed that the level of hope played a partial mediating effect on stigma and quality of life in stroke patients with deglutition disorders(the mediation value was-0.886,and accounted for 59.3％of the total effect).Conclusion The stigma in stroke patients with deglutition disorders is negatively correlated with the level of hope and quality of life,while the level of hope is positively correlated with the quality of life;and the level of hope plays a partial mediating effect on stigma and quality of life in stroke patients with deglutition disorders.
黄静;魏朝洁;何艾恩;胡荣利;周哲屹;王滔;韦冰心;徐宏;汪莉
530000 广西壮族自治区南宁市,广西中医药大学护理学院||545001 广西壮族自治区柳州市中医医院康复医学科530200 广西壮族自治区南宁市第二人民医院乳甲外科530003 广西壮族自治区南宁市,中国人民武装警察部队广西壮族自治区总队医院外二科545000 广西壮族自治区柳州市工人医院神经外科545001 广西壮族自治区柳州市中医医院院长办公室530022 广西壮族自治区南宁市第一人民医院护理部545001 广西壮族自治区柳州市中医医院康复医学科545001 广西壮族自治区柳州市中医医院康复医学科530022 广西壮族自治区南宁市第一人民医院护理部
医药卫生
卒中吞咽障碍希望水平病耻感生活质量中介效应
StrokeDeglutition disordersHope levelStigmaQuality of lifeMediation effect
《实用心脑肺血管病杂志》 2026 (7)
119-123,5
广西自然科学基金项目(2025GXNSFAA069494)南宁市科学研究与技术开发计划项目(20235077)柳州市科技计划项目(2024YB0103B011)广西壮族自治区中医药管理局自筹科研课题(GXZYB20250562)
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