Article(id=1322589978849296593, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322589954702688372, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202408375, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1724083200000, receivedDateStr=2024-08-20, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1793259623490, onlineDateStr=2026-10-29, pubDate=1736438400000, pubDateStr=2025-01-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793259623490, onlineIssueDateStr=2026-10-29, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793259623490, creator=13701087609, updateTime=1793259623490, updator=13701087609, issue=Issue{id=1322589954702688372, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='1', pageStart='1', pageEnd='192', issueExtLink='null', onlineDate='null', pubDate='1736438400000', pubDateStr='2025-01-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793259617734, creator='13701087609', updateTime=1793260023378, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1322591656147276425, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322589954702688372, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1322591656147276426, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1322589954702688372, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=132, endPage=137, ext={EN=ArticleExt(id=1322589979059011794, articleId=1322589978849296593, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=The impact of post-stroke fatigue on self-management behaviors in stroke patients during recovery: a moderated mediation effect, columnId=1228016572451718132, journalTitle=Modern Preventive Medicine, columnName=Health and Social Behavior, runingTitle=null, highlight=null, articleAbstract=
Objective To explore the mediating role of post-traumatic growth between post-stroke fatigue and self-management behaviors in stroke patients during recovery, as well as the moderating effect of caregiver contributions on the relationship between post-stroke fatigue and post-traumatic growth.
Methods A convenience sampling method was used to collect data from 329 stroke patients in recovery and their primary caregivers. The study utilized a general information questionnaire, the Fatigue Severity Scale, the Post-Traumatic Growth Inventory, the Caregiver Contribution Scale for Self-Care in Stroke Patients, and the Stroke Self-Management Behavior Assessment Scale. Data analysis was performed using descriptive statistics, variance analysis, and correlation analysis with Mplus 8.3 software, while the PROCESS macro was employed to validate mediation and moderation effects.
Results Post-traumatic growth served as a mediator between post-stroke fatigue and self-management behaviors (e=-0.072, 95%CI: -0.119 to -0.032), accounting for 18.18% of the total effect. The interaction term between post-stroke fatigue and caregiver contributions positively predicted post-traumatic growth (β=0.095, P < 0.05).
Conclusion Healthcare professionals should focus on enhancing the level of post-traumatic growth in stroke patients during recovery and recognize the significant role of caregivers in the recovery process, thereby improving self-management behaviors.
, authors=Yu-xin WANG
1, Nai-jiao XING
2, Gao-pin LV
2, Xin-xin LI
3, Shan-yu WU
1, authorsList=Yu-xin WANG, Nai-jiao XING, Gao-pin LV, Xin-xin LI, Shan-yu WU, authorCompany=null, correspAuthors=Shan-yu WU, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322589981252632793, articleId=1322589978849296593, tenantId=1146029695717560320, journalId=1227665162245664772, language=CN, title=卒中后疲劳对恢复期脑卒中患者自我管理行为的影响——有调节的中介作用, columnId=1228016572640461823, journalTitle=现代预防医学, columnName=健康与社会行为, runingTitle=null, highlight=null, articleAbstract=
目的 探讨恢复期脑卒中患者创伤后成长在卒中后疲劳与自我管理行为之间的中介作用以及照顾者贡献在卒中后疲劳与创伤后成长之间的调节作用。
方法 方便抽样收集329例恢复期脑卒中患者及其主要照顾者，采用一般资料调查表、疲劳严重度量表、创伤后成长评定问卷、照顾者在脑卒中患者自我护理贡献量表与脑卒中自我管理行为评定量表进行调查。采用Mplus8.3软件对数据应用描述性统计、方差分析、相关性分析，PROCESS程序对中介作用及调节效果进行验证。
结果 创伤后成长在卒中后疲劳与自我管理之间发挥着中介作用(e=-0.072,95%CI:-0.119～-0.032)，中介效应占总效应比为18.18%;卒中后疲劳与照顾者贡献的交互项对创伤后成长具有正向的预测作用(β=0.095,P<0.05)。
结论 医护人员应注重提高恢复期脑卒中患者创伤后成长水平,重视照顾者在疾病恢复中的重要作用,进而提高其自我管理行为。
, authors=王玉欣
1, 邢乃姣
2, 吕高品
2, 李鑫鑫
3, 吴善玉
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王玉欣（2000—），女，硕士在读，研究方向：社区护理
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=h/qn4GZ/ZfaZOWnzs6J9BQ==, magXml=uemIJlB/9Vk/CnTPPZFb3A==, pdfUrl=null, pdf=ZuBJjFQD0bUuNSe6mhP1nw==, pdfFileSize=721969, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=ot1pOFJRANzxAfEtby1YAA==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=viK8lKaGmetgnROVeZjZug==, mapNumber=null, fund=null)}, authors=[Author(id=1322589981902749922, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, orderNo=0, firstName=null, middleName=null, lastName=null, nameCn=null, orcid=null, stid=null, country=null, authorPic=null, dead=0, email=null, emailSecond=null, emailThird=null, correspondingAuthor=0, authorType=1, ext={EN=AuthorExt(id=1322589981986636004, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, authorId=1322589981902749922, language=EN, stringName=Yu-xin WANG, firstName=Yu-xin, middleName=null, lastName=WANG, prefix=null, suffix=null, authorComment=null, nameInitials=null, affiliation=null, department=null, xref=
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1.延边大学护理学院，吉林 延边 133002)]), AuthorCompany(id=1322589981596565725, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, xref=2., ext=[AuthorCompanyExt(id=1322589981604954334, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, companyId=1322589981596565725, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
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3.延边大学附属医院（延边医院)])], figs=[ArticleFig(id=1322589983790186756, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, language=EN, label=Figure 1, caption=
Hypothetical model of the relationship between self-management behaviors and influencing factors in stroke recovery patients, figureFileSmall=BTDUeYXdsmMQ0G/JOpAr9g==, figureFileBig=ot1pOFJRANzxAfEtby1YAA==, tableContent=null), ArticleFig(id=1322589983878267141, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, language=CN, label=图1, caption=
恢复期脑卒中患者自我管理行为及影响因素间假设模型, figureFileSmall=BTDUeYXdsmMQ0G/JOpAr9g==, figureFileBig=ot1pOFJRANzxAfEtby1YAA==, tableContent=null), ArticleFig(id=1322589984071205126, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, language=EN, label=Figure 2, caption=
The moderating role of caregiver contribution in the relationship between post-stroke fatigue and p ost-traumatic growth, figureFileSmall=FpIfvFsG2kY1qryE9ZqcpQ==, figureFileBig=jHNKnCLl5HJReBjsJbehhw==, tableContent=null), ArticleFig(id=1322589984155091207, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, language=CN, label=图2, caption=
照顾者贡献在卒中后疲劳和创伤后成长之间调节作用, figureFileSmall=FpIfvFsG2kY1qryE9ZqcpQ==, figureFileBig=jHNKnCLl5HJReBjsJbehhw==, tableContent=null), ArticleFig(id=1322589984222200072, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, language=EN, label=Table 1, caption=
Difference test of demographic variables on self-management
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 自我管理行为（ ） | t/F值 | P值 |
|---|
| 是否独居 | | 2.152 | 0.032 |
| 否 | 3.26±0.22 | | |
| 是 | 3.17±0.25 | | |
| 睡眠质量 | | 9.276 | < 0.001 |
| 较差 | 3.14±0.25 | | |
| 一般 | 3.24±0.21 | | |
| 良好 | 3.30±0.22 | | |
| 夜间睡眠时间（h） | | 3.355 | 0.037 |
| < 6 | 3.21±0.24 | | |
| 6 ～ 8 | 3.27±0.21 | | |
| >8 | 3.17±0.30 | | |
| 性别 | | 0.911 | 0.363 |
| 男性 | 3.26 ± 0.24 | | |
| 女性 | 3.24 ± 0.21 | | |
| 年龄分段（岁 ） | | 0.802 | 0.423 |
| <60 | 3.27 ± 0.21 | | |
| ≥60 | 3.24 ± 0.23 | | |
| 文化程度 | | 2.038 | 0.108 |
| 小学及以下 | 3.24 ± 0.19 | | |
| 初中 | 3.23 ± 0.24 | | |
| 高中/中专/职高 | 3.32 ± 0.22 | | |
| 大专及以上 | 3.23 ± 0.30 | | |
| 家庭人均月收入（元） | | 2.294 | 0.078 |
| <2 000 | 3.18 ± 0.29 | | |
| 2 000～4 000 | 3.26 ± 0.21 | | |
| 4 000～6 000 | 3.27 ± 0.20 | | |
| ≥6 000 | 3.17 ± 0.31 | | |
| 您目前居住区域 | | 0.561 | 0.571 |
| 城市 | 3.25 ± 0.23 | | |
| 县或镇 | 3.18 ± 0.27 | | |
| 农村 | 3.28 ± 0.20 | | |
| 民族 | | -1.314 | 0.201 |
| 汉族 | 3.25 ± 0.23 | | |
| 少数民族 | 3.29 ± 0.14 | | |
| 职业类型 | | 1.916 | 0.108 |
| 工人 | 3.19 ± 0.22 | | |
| 务农 | 3.20 ± 0.25 | | |
| 专业技术人员 | 3.26 ± 0.29 | | |
| 干部 | 3.27 ± 0.20 | | |
| 其他 | 3.27 ± 0.21 | | |
| 付费形式 | | 1.712 | 0.164 |
| 职工保险 | 3.15 ± 0.25 | | |
| 居民医保/新农合 | 3.31 ± 0.54 | | |
| 商业保险 | 3.24 ± 0.22 | | |
| 自费 | 3.27 ± 0.20 | | |
| 是否患有其他慢性病 | | -0.990 | 0.323 |
| 否 | 3.22 ± 0.22 | | |
| 是 | 3.25 ± 0.23 | | |
| 主要照顾者 | | 0.842 | 0.432 |
| 配偶 | 3.26 ± 0.23 | | |
| 子女 | 3.22 ± 0.22 | | |
| 父母 | 3.29 ± 0.03 | | |
| 患病类型 | | -0.063 | 0.95 |
| 缺血性脑卒中 | 3.25 ± 0.21 | | |
| 出血性脑卒中 | 3.25 ± 0.25 | | |
| 自理能力 | | 1.876 | 0.155 |
| 完全自理 | 3.27 ± 0.22 | | |
| 部分自理 | 3.22 ± 0.21 | | |
| 不能自理 | 3.23 ± 0.31 | | |
), ArticleFig(id=1322589984318669065, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, language=CN, label=表1, caption=
人口学变量在自我管理上的差异检验
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 自我管理行为（） | t/F值 | P值 |
|---|
| 是否独居 | | 2.152 | 0.032 |
| 否 | 3.26±0.22 | | |
| 是 | 3.17±0.25 | | |
| 睡眠质量 | | 9.276 | < 0.001 |
| 较差 | 3.14±0.25 | | |
| 一般 | 3.24±0.21 | | |
| 良好 | 3.30±0.22 | | |
| 夜间睡眠时间（h） | | 3.355 | 0.037 |
| < 6 | 3.21±0.24 | | |
| 6 ～ 8 | 3.27±0.21 | | |
| >8 | 3.17±0.30 | | |
| 性别 | | 0.911 | 0.363 |
| 男性 | 3.26 ± 0.24 | | |
| 女性 | 3.24 ± 0.21 | | |
| 年龄分段（岁 ） | | 0.802 | 0.423 |
| <60 | 3.27 ± 0.21 | | |
| ≥60 | 3.24 ± 0.23 | | |
| 文化程度 | | 2.038 | 0.108 |
| 小学及以下 | 3.24 ± 0.19 | | |
| 初中 | 3.23 ± 0.24 | | |
| 高中/中专/职高 | 3.32 ± 0.22 | | |
| 大专及以上 | 3.23 ± 0.30 | | |
| 家庭人均月收入（元） | | 2.294 | 0.078 |
| <2 000 | 3.18 ± 0.29 | | |
| 2 000～4 000 | 3.26 ± 0.21 | | |
| 4 000～6 000 | 3.27 ± 0.20 | | |
| ≥6 000 | 3.17 ± 0.31 | | |
| 您目前居住区域 | | 0.561 | 0.571 |
| 城市 | 3.25 ± 0.23 | | |
| 县或镇 | 3.18 ± 0.27 | | |
| 农村 | 3.28 ± 0.20 | | |
| 民族 | | -1.314 | 0.201 |
| 汉族 | 3.25 ± 0.23 | | |
| 少数民族 | 3.29 ± 0.14 | | |
| 职业类型 | | 1.916 | 0.108 |
| 工人 | 3.19 ± 0.22 | | |
| 务农 | 3.20 ± 0.25 | | |
| 专业技术人员 | 3.26 ± 0.29 | | |
| 干部 | 3.27 ± 0.20 | | |
| 其他 | 3.27 ± 0.21 | | |
| 付费形式 | | 1.712 | 0.164 |
| 职工保险 | 3.15 ± 0.25 | | |
| 居民医保/新农合 | 3.31 ± 0.54 | | |
| 商业保险 | 3.24 ± 0.22 | | |
| 自费 | 3.27 ± 0.20 | | |
| 是否患有其他慢性病 | | -0.990 | 0.323 |
| 否 | 3.22 ± 0.22 | | |
| 是 | 3.25 ± 0.23 | | |
| 主要照顾者 | | 0.842 | 0.432 |
| 配偶 | 3.26 ± 0.23 | | |
| 子女 | 3.22 ± 0.22 | | |
| 父母 | 3.29 ± 0.03 | | |
| 患病类型 | | -0.063 | 0.95 |
| 缺血性脑卒中 | 3.25 ± 0.21 | | |
| 出血性脑卒中 | 3.25 ± 0.25 | | |
| 自理能力 | | 1.876 | 0.155 |
| 完全自理 | 3.27 ± 0.22 | | |
| 部分自理 | 3.22 ± 0.21 | | |
| 不能自理 | 3.23 ± 0.31 | | |
), ArticleFig(id=1322589984389972234, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, language=EN, label=Table 2, caption=
Regression analysis of mediation and moderation effects
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 模型1
自我管理行为 | 模型2
创伤后成长 | 模型3
自我管理行为 | 模型4
创伤后成长 | 模型5
创伤后成长 |
|---|
| 卒中后疲劳 | -0.396*** | -0.263*** | -0.324*** | -0.220*** | -0.224*** |
| 创伤后成长 | | | 0.273*** | | |
| 照顾者贡献 | | | | 0.339*** | 0.332*** |
| 卒中后疲劳*照顾者贡献 | | | | | 0.095* |
| R2值 | 0.224 | 0.132 | 0.289 | 0.243 | 0.253 |
| ΔR2值 | 0.224*** | 0.132*** | 0.065*** | 0.243*** | 0.010* |
| F值 | 18.677*** | 9.792*** | 21.797*** | 17.232*** | 15.538 |
), ArticleFig(id=1322589984461275403, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, language=CN, label=表2, caption=
中介效应和调节效应的回归分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 变量 | 模型1
自我管理行为 | 模型2
创伤后成长 | 模型3
自我管理行为 | 模型4
创伤后成长 | 模型5
创伤后成长 |
|---|
| 卒中后疲劳 | -0.396*** | -0.263*** | -0.324*** | -0.220*** | -0.224*** |
| 创伤后成长 | | | 0.273*** | | |
| 照顾者贡献 | | | | 0.339*** | 0.332*** |
| 卒中后疲劳*照顾者贡献 | | | | | 0.095* |
| R2值 | 0.224 | 0.132 | 0.289 | 0.243 | 0.253 |
| ΔR2值 | 0.224*** | 0.132*** | 0.065*** | 0.243*** | 0.010* |
| F值 | 18.677*** | 9.792*** | 21.797*** | 17.232*** | 15.538 |
), ArticleFig(id=1322589984578715916, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, language=EN, label=Table 3, caption=
Effect analysis table
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| 效应 | Boot标准误 | 效应值（95%CI） | 效应比例（%） |
|---|
| 直接效应 | 0.051 | -0.324(-0.424～-0.224) | 81.82 |
| 中介效应 | 0.022 | -0.072(-0.119～-0.032) | 18.18 |
| 总效应 | 0.051 | -0.396(-0.497～-0.296) | |
), ArticleFig(id=1322589984645824781, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1322589978849296593, language=CN, label=表3, caption=
效应分析表
, figureFileSmall=null, figureFileBig=null, tableContent=
| 效应 | Boot标准误 | 效应值（95%CI） | 效应比例（%） |
|---|
| 直接效应 | 0.051 | -0.324(-0.424～-0.224) | 81.82 |
| 中介效应 | 0.022 | -0.072(-0.119～-0.032) | 18.18 |
| 总效应 | 0.051 | -0.396(-0.497～-0.296) | |
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