【摘要】 目的：探究主观幸福感在老年脑卒中患者的社会支持、症状负担与焦虑、抑郁之间的路径关系。方法：选择2023年1—6月在上海市某区三级医院神经内科住院接受治疗的患者245人作为研究对象。运用一般资料调查问卷、焦虑症筛查量表、简单自测抑郁量表、主观幸福感指数量表、脑卒中症状体验量表、社会支持评定量表开展调查。结果：老年脑卒中患者焦虑总分为（4.20±3.58）分，抑郁总分为（4.19±3.22）分，主观幸福感总分为（11.39±1.87）分，症状负担总分为（40.06±10.17）分。症状负担总分及各维度与焦虑、抑郁呈正相关，症状负担总分及各维度与主观幸福感呈负相关，主观幸福感与焦虑、抑郁呈负相关，客观支持与焦虑呈负相关，社会支持、客观支持、主观支持与抑郁呈负相关，主观幸福感与社会支持、客观支持、主观支持呈正相关，差异均有统计学意义（P<0.05）。主观幸福感在症状负担、社会支持与老年脑卒中患者焦虑、抑郁中存在中介效应。结论：加强对老年脑卒中患者心理健康的关注，做好对患者家属的健康教育，提高对患者的社会支持，切实改善患者心理健康。更多还原

【Abstract】 OBJECTIVE To explore the pathway relationships between subjective well-being, social support, symptom burden,anxiety and depression among elderly stroke patients. METHODS A total of 245 patients who were hospitalized in the neurology department of a tertiary hospital in Shanghai from January to June in 2023 and met tinclusion and exclusion criteria were selected as study subjects. Surveys were conducted by using general information questionnaires, generalized anxiety disorder-7 items, patient health questionnaire-9 items, index of well-being, stroke symptom experience scales and social support rate scale. RESULTS The total anxiety score of elderly stroke patients was(4.20±3.58), depression score was(4.19±3.22), subjective well-being score was(11.39±1.87)and disease symptom burden score was(40.06±10.17). The total score of symptom burden and each dimension were positively correlated with anxiety and depression, while negatively correlated with subjective well-being. Subjective well-being was negatively correlated with anxiety and depression. Objective support was negatively correlated with anxiety. Social support, objective support and subjective support were negatively correlated with depression, and the differences were statistically significant(P<0.05).Subjective well-being was positively correlated with social support, objective support and subjective support. CONCLUSION There is a need to strengthen the focus on the psychological health of elderly stroke patients. Additionally, there should be enhanced health education for patients’ families to guide them in understanding stroke disease accurately.更多还原