社会支持水平在脑出血患者家属应对方式与疾病 获益感间的中介效应.

Objective To explore the mediating effect of social support level on the coping styles and perceived benefit from illness among family members of cerebral hemorrhage patients. Methods A total of 128 family members of cerebral hemorrhage patients admitted to the hospital from December 2020 to December 2023 were selected. Questionnaires were conducted using the Benefit Finding Scale (BFS), Medical Coping Modes Questionnaire (MCMQ), and Social Support Rating Scale (SSRS). The correlation between social support, coping styles, and perceived benefit from illness among family members of cerebral hemorrhage patients was analyzed, as well as the mediating effect of social support on coping styles and perceived benefit from illness. Results The score for perceived benefit from illness among family members of cerebral hemorrhage patients was (78.52±10.56), the total social support score was (42.39±5.22), the confrontation dimension score of coping styles was (24.35±3.76), the submission dimension score was (6.06±1.58), and the avoidance dimension score was (13.30±2.44). The total social support score and each dimension were positively correlated with confrontation coping and perceived benefit from illness (P<0.05) and negatively correlated with submission and avoidance coping (P<0.05). Perceived benefit from illness was positively correlated with confrontation coping (P<0.05) and negatively correlated with submission and avoidance coping (P< 0.05). Results of forced entry regression analysis showed that when the predictor variable was confrontation coping and the dependent variable was perceived benefit from illness, the coefficient of determination (R) during regression analysis was 0. 635, the unstandardized regression coefficient (B) was 1.588, and P<0.001. When the predictor variable was confrontation coping and the dependent variable was social support, R during regression analysis was 0. 483, B was 0.274, and P<0.001. When the predictor variables were confrontation coping and social support, and the dependent variable was perceived benefit from illness, R during regression analysis was 0.642, B was 1.522, and P<0.001. When the predictor variable was avoidance coping and the dependent variable was social support, R during regression analysis was 0. 410, B was 0.014, and P=0.790. When the predictor variables were social support and avoidance coping, and the dependent variable was perceived benefit from illness, R during regression analysis was 0. 421, B was 0.393, and P=0.001. Social support played a mediating role in predicting perceived benefit from illness in both confrontation and avoidance coping. Conclusion Social support has a mediating effect on the coping styles and perceived benefit from illness among family members of cerebral hemorrhage patients. Interventions can be formulated clinically starting with social support to improve family members' perceived benefit from illness. [ABSTRACT FROM AUTHOR]