Title : Mediating effects of psychological resilience and meaning in life between perceived social support and self-care behaviors in patients with stroke
Abstract:
Aim: To examine factors associated with self-care behaviors among patients with stroke and clarify the chain-mediating roles of psychological resilience and meaning in life in the relationship between perceived social support and self-care behaviors.
Design: A cross-sectional and correlational study.
Methods: This study employed convenience sampling to recruit 772 patients with stroke who were hospitalized in neurology departments of three Class A Grade III hospitals in China. Data were collected via face-to-face interviews using the General Information Questionnaire, the Perceived Social Support Scale, the Self-Care of Stroke Inventory, the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), the Meaning in Life Questionnaire, and the Activity of Daily Living Scale (ADL). IBM SPSS v21.0 software and the PROCESS macro were employed for data analysis.
Results: Self-care behaviors were positively correlated with perceived social support, psychological resilience, and meaning in life. Furthermore, psychological resilience and meaning in life demonstrated significant serial mediating effects in the association between perceived social support and self-care behaviors, including self-care maintenance, monitoring, and management.
Conclusions: Perceived social support influences self-care behaviors among patients with stroke through psychological resilience and meaning in life.
Keywords: Stroke, Self-Care Behavior, Perceived social support, Psychological Resilience, Meaning in Life.
