脑卒中患者+疾病感知→其健康行为的影响的研究（护理SCI文献解读）

横断面研究是探讨问题的现状，而中介调节效应类型是探讨具体到某个因素（自变量）对于研究问题（因变量）的影响机制。

关于此类问题的思考，我们昨天在上直播课的时候，提到了一个词：高维度需求。比如，对于自尊、希望水平、疾病感知等的研究。

今天给大家分享的是来自《Journal of Advanced Nursing》上的一篇文献，讲述的主题是：脑卒中患者疾病感知对于其健康行为的影响的研究，其中，应对方式起到的中介作用。（作者是：郑州大学第一附属医院。文章比较中规中矩）

Liu, Y, Wei, M, Guo, L, Guo, Y, Zhu, Y, He, Y. Association between illness perception and health behaviour among stroke patients: The mediation effect of coping style. J Adv Nurs. 2021; 77: 2307– 2318.

https://doi.org/10.1111/jan.14761

脑卒中患者疾病感知与其健康行为的关系研究：应对方式的中介作用

Abstract摘要

Aims This study aims to explore illness perception and coping style in relation to health behaviour and the mediating role of coping style between illness perception and health behaviour among stroke patients.

研究目的：探讨两个变量对于因变量的影响（两个自变量是：疾病感知和应对方式；因变量是：健康行为），并检验应对方式在脑卒中患者疾病感知和健康行为之间的中介作用。

Design Cross‐sectional study.

研究设计：横断面研究设计

Methods This survey was conducted with 515 stroke patients aged ≥18 years from September 2019 to January 2020 in Zhengzhou, China. The demographic and clinical characteristics questionnaire, Stroke Illness Perception Questionnaire‐Revised, Simplified Coping Style Questionnaire, and Health Behavior Scale for Stroke Patients were included in this study. Data analysis was performed by correlation analysis, multiple linear regression analysis, and structural equation modelling.

研究方法：选取515名来自郑州市某医院的脑卒中患者为研究对象。采用一般资料问卷和疾病特征问卷、疾病感知问卷、应对方式问卷和健康行为量表等进行调查。采用结构方程模型进行分析数据。

Results The valid questionnaires were 495 (effective response rate: 96.1%). Low negative illness perception, high positive coping style, and low negative coping style are related to high level of health promoting behaviour (all p < 0.01). The results revealed that the effect of illness perception on health behaviour was partly mediated by coping style. It also confirmed that the mediation effect accounts for 43.7% (−0.169/−0.387) of the total effect.

研究结果：①问卷有效回收为495分，有效回收率率为96.1%；②疾病感知和应对方式与健康行为之间存在显著相关；③疾病感知对脑卒中患者健康行为的影响收到应对方式的部分中介作用；⑤中介效应占总效应的43.7%。

Conclusion Illness perception may influence health behaviour partly because of coping style.

研究结论：疾病感知通过应对方式部分中介影响健康行为变量。

Impact This study implies that targeted interventions for stroke patients' illness perception are needed to motivate them to take proactive coping strategy to ultimately improve their health behaviours.

意义：本研究提示，应该有针对性地干预脑卒中患者的疾病认知，以激励他们采取积极的应对策略，最终改善他们的健康行为。