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Uncertainty in illness and coping styles:Moderating and mediating effects of resilience in stroke patients

作     者:Zi-Ting Han Hui-Min Zhang Yi-Ming Wang Shan-Shan Zhu Dong-Yang Wang 

作者机构:School of NursingXinxiang Medical UniversityXinxiang 453000Henan ProvinceChina School of International EducationXinxiang Medical UniversityXinxiang 453000Henan ProvinceChina Department of NursingSchool of PharmacyChangzhou UniversityChangzhou 213000Jiangsu ProvinceChina Faculty of NursingMahidol UniversityNakhon Pathom 73170Thailand 

出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期:2021年第9卷第30期

页      面:8999-9010页

核心收录:

学科分类:1002[医学-临床医学] 100204[医学-神经病学] 10[医学] 

基  金:Supported by The Humanities and Social Sciences Research Program of the Henan Province Education Department in 2017 No.2017-ZZJH-439 

主  题:Stroke Resilience,Psychological Coping styles Uncertainty in illness 

摘      要:BACKGROUND Stroke has a great influence on the patient’s mental health,and reasonable psychological adjustment and disease perception can promote the recovery of mental *** To explore the relationships among resilience,coping style,and uncertainty in illness of stroke *** A retrospective study was used to investigate 154 stroke patients who were diagnosed and treated at eight medical institutes in Henan province,China from October to December *** used the Mishel Uncertainty in Illness Scale,the Connor-Davidson Resilience Scale,and the Medical Coping Modes Questionnaire to test the uncertainty in illness,resilience,and coping style,*** Resilience had a significant moderating role in the correlation between coping style and unpredictability and information deficiency for uncertainty in illness(P0.05).Further,the tenacity and strength dimensions of resilience mediated the correlation between the confrontation coping style and complexity,respectively(P0.05).The strength dimension of resilience mediated the correlation between an avoidance coping style and the unpredictability of uncertainty in illness(P0.05),as well as correlated with resignation,complexity,and unpredictability(P0.05).CONCLUSION Resilience has moderating and mediating roles in the associations between coping style and uncertainty in illness,indicating that it is vital to improve resilience and consider positive coping styles for stroke patients in the prevention and control of uncertainty in illness.

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