摘要
目的 调查青年脑卒中患者心理弹性水平,并分析其影响因素,为后期开展护理干预提供理论依据。 方法 采用便利抽样法,选择2013年1月—2015年12月于徐州市第一人民医院神经内科住院的青年脑卒中患者166例,采用一般资料调查表、心理弹性量表、社会支持量表、自我感受负担量表以及疾病不确定感量表对患者进行调查。共发放问卷166份,回收有效问卷160份。 结果 160例青年脑卒中患者心理弹性总分为(58.70±5.54)分,坚韧、自强和乐观维度得分分别为(29.41±3.51)、(20.24±2.37)、(9.04±1.46)分;单因素分析显示,不同性别、文化程度、婚姻状况、家庭关系的青年脑卒中患者心理弹性得分差异有统计学意义(P<0.05);相关分析显示,青年脑卒中心理弹性得分与社会支持各维度呈正相关,与自我感受负担各维度、疾病不确定感各维度呈负相关(P<0.05)。多元回归分析显示,患者性别、文化程度、家庭关系、客观支持、主观支持、情感负担、经济负担、疾病不明确性、不可预测性是青年脑卒中患者心理弹性水平主要影响因素。 结论 青年脑卒中患者心理弹性水平较低,受多种因素共同制约,护理人员应当及时采取有针对性的干预措施,提高患者心理弹性水平,促进病情转归。
Objective To investigate the level of resilience and influencing factors among young stroke patients, so as to provide theoretical basis for carrying out nursing intervention.Methods A total of 160 young stroke patients hospitalized in Neurology Department of the First People's Hospital of Xuzhou from January 2013 to December 2015 were selected by convenience sampling method. All the research subjects were investigated with the general questionnaire, the Connor-Davidson Resilience Scale (CD-RISC), Social Support Rat Scale (SSRS), Self-Perceived Burden Scale (SPBS) and Mishel Uncertainty in Illness Scale for Adult (MUIS-A). A total of 166 questionnaires were distributed and 160 valid questionnaires were collected. Results The total score of resilience of 160 young stroke patients was (58.70±5.54). The scores of tolerance, strength and optimism were (29.41±3.51), (20.24±2.37) and (9.04±1.46) respectively. Univariate analysis showed that there were differences in the resilience scores among young stroke patients with different genders, education levels, marital status and family relationships (P<0.05). Relevant analysis showed that there was a positive correlation between resilience score and social support, and a negative correlation between resilience score and self-perceived burden and disease uncertainty (P<0.05). Multivariate regression analysis showed that gender, educational level, family relationship, objective support, subjective support, emotional burden, economic burden and uncertainty and unpredictability were the main influencing factors of resilience. Conclusions The level of resilience among young stroke patients is low and constrained by many factors. Nursing staff should take timely and targeted interventions to improve the level of resilience and promote the prognosis of the disease.
作者
洪玉侠
胡铭
杨秀华
蔡丽丽
Hong Yuxia;Hu Ming;Yang Xiuhua;Cai Lili(Neurology Department,the First People's Hospital of Xuzheu in Jiangsu Province,Xuzhou 221000,China;Nursing Department,the First People's Hospital of Xuzhou in Jiangsu Province,Xuzhou 221000,China)
出处
《中华现代护理杂志》
2018年第35期4243-4247,共5页
Chinese Journal of Modern Nursing
关键词
卒中
青年
心理弹性
影响因素
Stroke
Youth
Resilience
Influencing factors
作者简介
通信作者:胡铭,Email:huming101 8@126.com.
