住院脑卒中患者主要照顾者心理状态及其与应对方式和社会支持的相关性  

Correlation between psychological states, coping styles and social support of primary caregivers of hospitalized stroke patients

作　　者：杨海萍[1] 李江[1] 陈晓领 李海珊[1] 高群燕[1] 

机构地区：[1]宁波大学医学院附属医院神经外科,浙江宁波315020

出　　处：《温州医科大学学报》2016年第5期372-376,共5页Journal of Wenzhou Medical University

摘　　要：目的:探讨住院脑卒中患者主要照顾者心理状态及其与应对方式和社会支持的相关性。方法:采用便利取样选取住院脑卒中患者主要照顾者160名,利用一般资料问卷,激惹、抑郁和焦虑自评量表(IDA)、医学应对方式问卷(MCMQ)、社会支持评定量表(SSRS)调查其心理状态、应对方式和社会支持的情况。结果:住院脑卒中患者主要照顾者心理状态得分从高到低依次为焦虑、抑郁、外向型激怒和内向型激怒;应对方式中选择积极应对的面对、回避,消极应对的屈服,得分分别为(10.32±2.76)、(18.39±3.24)和(15.08±2.96)分;社会支持得分从高到低依次为主观支持、客观支持和支持利用度;相关分析显示,住院脑卒中患者主要照顾者心理状态各维度得分与积极的应对方式即面对和回避得分呈显著负相关,而与消极的应对方式屈服得分呈显著正相关(均P<0.05);住院脑卒中患者主要照顾者心理状态各维度得分与社会支持各维度得分呈显著负相关(均P<0.05)。结论:住院脑卒中患者主要照顾者焦虑、抑郁等心理状态较明显,消极的应对方式可能加重其心理问题,而积极的应对方式和更好的社会支持有利于改善不良心理状态,临床可以采取针对性的干预措施。Objective： To study the correlation between psychological state, coping styles and social sup-port of primary caregivers of stroke patients. Methods： One hundred and sixty primary caregivers were screened out with the random sampling method for the investigation of their psychological states, coping styles and social support using IDA （irritability depression and anxiety scale）, MCMQ （medical coping modes questionnaire） and SSRS （social support rating scale）. Results： The IDA scores of primary caregiver of hospitalized stroke patients from high to low were anxiety, depression, inter-irritation and outer-irritation. The scores of positive coping styles, avoidance, and negative coping styles were 10.32＋2.76, 18.39~3.24, and 15.08~2.96. The scores of so- cial support from high to low were subjective support, objective support and utilization of support. There were significant differences between primary caregivers＇s psychological state and coping styles in terms of all factors （P〈0.05）. The confrontation and avoidance in the primary caregivers were negatively correlated to the factors of IDA （P〈0.05） and yielding in the coping style positively to the factors of IDA （P〈0.05）. Conclusion： The pri- mary caregivers of stroke patients has serious psychological states problem on anxiety, depression and so on. The negative coping styles may promote the psychological states problem worse, while the positive may solve the problem. Therefore, the proper social SUlaport and nursin~ measures should be taken.

关 键 词：脑卒中 照顾者 心理状态 应对方式 社会支持 

分 类 号：R473.74[医药卫生—护理学]