关键词: 中青年, 脑卒中, 重返工作自我效能, 积极心理学, 影响因素

Abstract: Objective: To investigate the level of return-to-work self-efficacy in young and middle-aged stroke patients and analyze its influencing factors. Methods: A convenience sampling method was adopted to recruit young and middle-aged stroke patients who were admitted to a tertiary grade A hospital between September 2022 and January 2024. Data were collected using a general information questionnaire, the Return-to-Work Self-Efficacy Questionnaire (RTW-SE), the Self-Esteem Scale, the Sense of Coherence-13 (SOC-13), and the Herth Hope Index Scale (HHI). Pearson correlation analysis as conducted to explore the relationships between return-to-work self-efficacy and positive psychological factors (self-esteem, sense of coherence, and hope). Multiple linear regression analysis was performed to identify the influencing factors of return-to-work self-efficacy. Results: Among 172 young and middle-aged stroke patients, the score of return-to-work self-efficacy was 4.12±0.44, the self-esteem score was 25.67±4.96, the sense of coherence score was 59.83±10.11, and the hope score was 36.06 ± 5.21. Return-to-work self-efficacy was positively correlated with self-esteem (r=0.715), sense of coherence (r=0.689), and hope level (r=0.785) (all P<0.01). Multiple linear regression analysis showed that modified Rankin Scale score, self-esteem, sense of coherence, and hope were influencing factors of return-to-work self-efficacy in young and middle-aged stroke patients (all P<0.05), collectively explaining 74.2% of the total variance. Conclusion: The level of return-to-work self-efficacy among young and middle-aged stroke patients requires further improvement. Positive psychological factors (self-esteem, sense of coherence, and hope), along with the mRS score, collectively influence return-to-work self-efficacy. Therefore, clinical nurses should strengthen their focus on positive psychological factors and develop tailored interventions based on individual patient characteristics to enhance return-to-work self-efficacy and facilitate the return-to-work process in this population.

Key words: Young and middle-aged, Stroke, Return-to-work self-efficacy, Positive psychology, Influencing factors