住院缺血性脑卒中病人医学应对方式及其影响因素研究  

Study on the medical coping style of inpatients with ischemic stroke and its influencing factors

作　　者：董玉静[1] 殷海燕[1] 王爱红[1] 杜世正[1] 陈冬[2] 戴春燕[2] DONG Yujing;YIN Haiyan;WANG Aihong;DU Shizheng;CHEN Dong;DAI Chunyan(Nanjing University of Chinese Medicine,Jiangsu 210023 China)

机构地区：[1]南京中医药大学护理学院,210023 [2]江苏省中医院,210029

出　　处：《全科护理》2019年第29期3597-3600,共4页Chinese General Practice Nursing

基　　金：江苏省高校哲学社会科学研究基金,编号:2018SJA0294

摘　　要：[目的]探讨住院缺血性脑卒中病人医学应对方式及其影响因素。[方法]采用便利抽样法选择2017年3月—2017年6月在南京市某三级甲等综合性医院神经内科病房住院且入院天数在3 d及以上的70例缺血性脑卒中病人为研究对象。采用一般资料调查表、Essen卒中风险评分表、日常生活能力问卷、医学应对问卷对病人进行调查,采用t检验、单因素方差分析及相关分析探讨影响病人医学应对方式的因素。[结果]面对维度得分为(14.74±4.14)分,回避维度得分为(13.53±2.80)分,屈服维度得分为(8.83±4.03)分。本组病人面对、回避维度得分低于国内常模(P<0.05),屈服维度得分与国内常模相比差异无统计学意义(P>0.05)。各维度影响因素分析:①面对维度。文化程度高、入院天数长的病人更倾向于采取面对策略。②回避维度。无功能障碍的病人更易采取回避策略。③屈服维度。小学及以下文化程度、经济状况差及有功能障碍的病人更倾向于采用屈服应对方式。其他因素如发病情况、性别、年龄、ESRS得分等因素对医学应对方式无影响。[结论]住院缺血性脑卒中病人的应对水平较低;文化程度、经济状况、入院天数、是否存在功能障碍是医学应对方式的影响因素。首次发病还是复发对病人的医学应对方式无影响,提示上一次的发病经历并没有帮助病人正确认识和应对疾病,也凸显了医院健康教育的不足。Objective:To explore the medical coping style of inpatients with ischemic stroke and analyze its influencing factors.Methods:By using convenient sampling method,a total of 70inpatients with ischemic stroke who were admitted to the department of neurology in a third-grade A hospital in Nanjing from March 2017 to June 2017 and whose admission days were 3 days or more were selected as subjects.Patients were surveyed by self-designed general data questionnaire,Essen stroke risk Scale(ESRS),Ability of Daily Life questionnaire(ADL)and medical coping questionnaire(MCMQ).T-test and variance analysis methods were employed to explore the influencing factors of medical coping style.Results:The score of dimension in face was 8~30(14.74±4.14),the score of dimension in avoidance was 8~20(13.53±2.80),and the score of dimension in yield was 5~20(8.83±4.03).The results of this survey were compared with the domestic norm by independent sample t-test,and it was found that the scores of the patients′dimensions in face and avoidance were lower than the domestic norm(P<0.05),there was no significant difference between the score of dimension in yield and the domestic norm(P>0.05).The analysis results of influencing factors of each dimension were as follows:①The dimension in face:patients with high level of education and long admission days tended to adopt facing strategies.②The dimension in avoidance:non-dysfunctional patients were more likely to use avoidance strategies.③The dimension in yield:Patients with primary school education or less,poor financial status,and dysfunction were more likely to resort to yield coping strategies.Other factors such as incidence,gender,age and the score of ESRS had no effect on medical coping style.Conclusions:Inpatients with ischemic stroke had a lower coping level.Educational background,economic status,number of days of admission,and the presence or absence of functional dysfunction was the influencing factors of medical coping style.The factor of first onset or recurrence had no effect on

关 键 词：脑卒中 医学应对 影响因素 

分 类 号：R473.5[医药卫生—护理学]