摘要
目的调查脑卒中后残疾患者绝望水平,分析其影响因素,为临床改善患者身心健康状况提供新的干预策略。方法选取2020年10月-2021年8月我院收治的352例脑卒中后残疾患者作为调查对象,采用一般情况调查表、贝克绝望量表(BHS)、Rankin修订量表(MRS)、伤残接受度量表(ADS)和领悟社会支持量表(PSSS)进行测评。结果脑卒中后残疾患者绝望得分为(9.76±2.82)分,处于中等绝望水平,其中正常7例(2.17%)、轻度95例(29.41%)、中度212例(65.63%)、重度9例(2.79%)。多元线性回归分析结果显示,家庭人均月收入、残疾程度、伤残接受度和领悟社会支持是患者绝望水平的显著影响因素,可解释50.9%的总变异。相关性分析结果显示,脑卒中后残疾患者绝望水平与伤残接受度、领悟社会支持均呈负相关(P<0.001)。结论脑卒中后残疾患者普遍存在不同程度的绝望情绪。医护人员应重视评估脑卒中后残疾患者的绝望水平,尤其关注家庭人均月收入较低和残疾程度较高的患者,制定伤残接受度和领悟社会支持水平的增进策略,从而降低患者的绝望水平。
Objective To investigate and analyze the level of despair and its influencing factors in disabled patients after stroke,and to provide new intervention ideas for clinical improvement of patients'physical and mental health.Methods From October 2020 to August 2021,352 disabled patients after stroke who were treated in Guangzhou Red Cross Hospital were selected as the research subjects,and were evaluated using the General Information Inventory,Beck Hopelessness Scale(BHS),Modified Rankin Scales(MRS),Acceptance of Disability Scale(ADS)and Perceived Social Support Scale(PSSS).Results The despair scores of disabled patients after stroke ranged from 2 to 16(9.76±2.82)points,and it was generally at a moderate level,including 7 normal cases(2.17%),95 mild despair cases(29.41%),and 212 moderate despair cases(65.63%),9 severe despair cases(2.79%).Multiple linear regression analysis showed that:family per capita monthly income,disability degree,disability acceptance and perceived social support were the significant influencing factors of the patients'despair level,which could account for 50.9%of the total variance.Conclusion The disabled patients after stroke generally have different degrees of despair.Medical staff should pay attention to assessing the level of despair in disabled patients after stroke,especially those with lower family per capita monthly income and higher levels of disability,and formulate strategies to improve disability acceptance and perceived social support,so as to reduce the level of despair of patients.
作者
黎燕飞
曾凤兰
李萍
洪宝珊
冯莉萍
LI Yanfei;ZENG Fenglan;LI Ping;HONG Baoshan;FENG Liping(Guangzhou Red Cross Hospital,Guangzhou 510220)
出处
《临床护理杂志》
2022年第6期5-9,共5页
Journal of Clinical Nursing
基金
广东省中医药局科研项目(20181207)。
关键词
脑卒中
残疾
绝望
stroke
disability
despair
作者简介
黎燕飞,女,本科,护师。
