Mediating Effect of Subjective Well-Being on Symptom Burden,Social Support,Anxiety and Depression in Elderly Stroke Patients

Yu Huimin; Wang Wei; Liu Jing; Cao Junyan; Yan Fei

doi:10.3969/j.issn.1001-568X.2025.08.0016

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.