Abstract: Objective: To explore the current status of psychological flexibility of stroke patients′ caregivers and analyze its influencing factors. Methods: A total of 233 caregivers of stroke patients were recruited in this cross-sectional survey. The general information questionnaire, Acceptance and Action Questionnaire-2nd Edition, Kessler Psychological Distress Scale, Zarit Caregiver Burden Interview and 10-item Connor-Davidson Resilience Scale were used in this survey. Multiple stepwise regression was used to analyze the influencing factors of psychological flexibility among stroke patients′ caregivers. Results: The mean score of psychological flexibility in stroke patients′ caregivers was 23.91±6.73. Multiple stepwise regression results showed that resilience, psychological distress, self -care ability of patients in daily life and caregiver burden were influencing factors of psychological flexibility of stroke patients′ caregivers (P<0.05), explaining 72.6% of the variance. Conclusion: The psychological flexibility of stroke patients′ caregivers were affected by many factors, and targeted interventions should be implemented by healthcare professionals to enhance the psychological flexibility level of stroke patients′ caregivers.

Key words: Stroke, Caregivers, Psychological flexibility, Influencing factors

摘要： 目的：调查脑卒中患者照顾者心理灵活性现状并分析其影响因素。方法：应用横断面研究设计，于 2022 年 7 月至 2023 年 2月选择天津市某三级甲等医院共 233 例脑卒中患者照顾者作为研究对象，使用一般资料调查表、接纳与行动问卷第 2 版、凯斯勒心理困扰量表、Zarit 照顾者负担量表和心理弹性量表简版进行问卷调查。采用多元逐步回归分析探索脑卒中患者照顾者心理灵活性的影响因素。结果：脑卒中患者照顾者心理灵活性总分为（23.91±6.73）分；多元逐步回归结果显示，心理弹性、心理困扰、患者日常生活自理能力以及照顾负担是脑卒中患者照顾者心理灵活性的影响因素（P＜0.05），可解释总变异的 72.6%。结论：脑卒中患者照顾者心理灵活性受多种因素影响，医护人员可通过采取针对性干预措施来提升脑卒中患者照顾者心理灵活性水平。

关键词: 脑卒中, 照顾者, 心理灵活性, 影响因素