摘要
目的探讨脑卒中后偏瘫患者健康焦虑元认知水平与疾病接受度及恐惧疾病进展的相关性。方法采用便利抽样法,选取2022年1月—2023年1月南京大学医学院附属鼓楼医院神经外科收治的脑卒中后偏瘫患者160例为调查对象。使用一般情况调查表、中文版健康焦虑元认知量表(MCQ-HA)、中文版疾病接受度量表(AIS)、恐惧疾病进展简化量表(FoP-Q-SF)对患者进行问卷调查。中文版MCQ-HA评分及其各维度得分与中文版AIS评分、FoP-Q-SF评分及其各维度得分的相关性分析采用Pearson相关分析;脑卒中后偏瘫患者健康焦虑元认知水平影响因素分析采用多元线性回归分析。结果脑卒中后偏瘫患者中文版MCQ-HA评分为(40.7±10.9)分,其中想法不可控信念维度得分为(11.4±3.6)分、偏见想法信念维度得分为(14.8±3.6)分、想法致病信念维度得分为(14.5±3.7)分;中文版AIS评分为(19.8±4.8)分;FoP-Q-SF评分为(43.0±8.4)分,其中生理健康维度得分为(21.7±4.3)分、社会家庭维度得分为(21.4±4.1)分。不同年龄、受教育程度患者中文版MCQ-HA评分比较,差异有统计学意义(P<0.05)。Pearson相关分析结果显示,脑卒中后偏瘫患者中文版MCQ-HA评分及想法不可控信念、偏见想法信念、想法致病信念维度得分与中文版AIS评分呈负相关,与FoP-Q-SF评分及生理健康、社会家庭维度得分呈正相关(P<0.05)。多元线性回归分析结果显示,年龄、受教育程度、中文版AIS评分、FoP-Q-SF评分是脑卒中后偏瘫患者健康焦虑元认知水平的影响因素(P<0.05)。结论脑卒中后偏瘫患者健康焦虑元认知水平升高与其疾病接受度降低、恐惧疾病进展水平升高有关。
Objective To investigate the correlation between metacognition of health anxiety level and acceptance of illness and feaRof disease progression in patients with hemiplegia afteRstroke.Methods A total of 160 patients with hemiplegia afteRstroke in the Department of Neurosurgery of Nanjing Drum ToweRHospital,the Affiliated Hospital of Nanjing University Medicine School from January 2022 to January 2023 were selected as the research subjects by convenience sampling method.The General Situation Questionnaire,the Chinese version of Meta-Cognitions about Health Questionnaire(MCQ-HA),the Chinese version of Acceptance Illness Scale(AIS),and the FeaRof Progression Questionnaire-Short Form(FoP-Q-SF)were used to investigate all patients.Pearson correlation analysis was used to explore the correlation between the Chinese version of MCQ-HA score and the scores of its each dimension and the Chinese version of AIS score,the FoP-Q-SF score and the scores of its each dimension.Multivariate lineaRregression analysis was used to explore the influencing factors of metacognition of health anxiety level in patients with hemiplegia afteRstroke.Results The Chinese version of MCQ-HA score of patients with hemiplegia afteRstroke was(40.7±10.9),and the uncontrollable thought belief dimension score was(11.4±3.6),the biased thought belief dimension score was(14.8±3.6)and the idea-pathogenic belief dimension score was(14.5±3.7).The Chinese verson of AIS score was(19.8±4.8).The FoP-Q-SF score was(43.0±8.4),and the physiological health dimension score was(21.7±4.3)and the social and family dimension score was(21.4±4.1).There was significant difference in the Chinese version of MCQ-HA score between patients with different ages and education levels(P<0.05).Pearson correlation analysis showed that the Chinese version of MCQ-HA score and uncontrollable thought belief dimension score,biased thought belief dimension score,idea-pathogenic belief dimension score in patients with hemiplegia afteRstroke were negatively correlated with the Chinese version of AIS score,and positively correlated with the FoP-Q-SF score and physiological health dimension score,social and family dimension score(P<0.05).Multivariate lineaRregression analysis showed that age,education level,the Chinese verson of AIS score and the FoP-QSF score were the influencing factors of metacognition of health anxiety level in patients with hemiplegia afteRstroke(P<0.05).Conclusion The elevated metacognition of health anxiety level in patients with hemiplegia afteRstroke is related to theiRreduced acceptance of illness and increased feaRof disease progression.
作者
徐博
柏晓燕
XU Bo;BAI Xiaoyan(Department of Neurosurgery,Nanjing Drum ToweRHospital,the Affiliated Hospital of Nanjing University Medicine School,Nanjing 210008,China)
出处
《实用心脑肺血管病杂志》
2024年第11期131-136,共6页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
江苏省健康科研项目(F20200554)
南京市卫生科技发展专项资金项目(YKK23092)
南京鼓楼医院护理部重点课题(2023-B835)。
关键词
卒中
偏瘫
健康焦虑元认知
疾病接受度
恐惧疾病进展
数据相关性
Stroke
Hemiplegia
Metacognition of health anxiety
Acceptance of illness
Fearof disease progression
Correlation of data
作者简介
通信作者:柏晓燕,E-mail:277504862@qq.com。
