脑卒中患者与配偶二元应对的调查分析  

Investigation and Analysis of Dual Coping Between Stroke Patients and Their Spouses

作　　者：杨雪雯 于丹丹 魏洪娟[2] 杨立群[2] YANG Xue-wen;YU Dan-dan;WEI Hong-juan;YANG Li-qun(Xinxiang Medical University,Xinxiang 453003,Henan,China;Qiqihar Medical University,Qiqihar 161006,Heilongjiang,China)

机构地区：[1]新乡医学院,河南新乡453003 [2]齐齐哈尔医学院,黑龙江齐齐哈尔161006

出　　处：《医学信息》2021年第5期73-77,共5页Journal of Medical Information

基　　金：齐齐哈尔市科学技术局一般指令项目(编号:RKX-201904)。

摘　　要：目的调查齐齐哈尔市脑卒中患者与配偶二元应对现状及影响因素。方法选取2019年9月~2020年3月就诊于齐齐哈尔市综合性三甲医院神经内科与神经外科的1050例住院患者与其配偶作为研究对象,应用一般资料调查表、二元应对量表、PHQ-9量表对其进行调查,分析其二元应对现状和影响因素。结果共回收有效问卷1016份,脑卒中患者二元应对总分(123.91±22.69)分,配偶(123.90±22.44)分,高于二元应对平均值,差异有统计学意义(P<0.05);单因素分析显示,不同文化程度、职业、收入、合并症数量、病程、婚史、肢体功能障碍、是否与子女同住、是否抑郁的脑卒中患者的二元应对量表得分比较,差异有统计学意义(P<0.05);多元线性回归分析显示:抑郁、肢体功能障碍、收入、婚史、合并症数量、是否与子女同住、职业、病程是脑卒中患者二元应对的主要影响因素;患者肢体功能障碍、抑郁、收入、患者合并症数量、宗教信仰、婚史、婚龄、慢性病数量、职业、患者病程是脑卒中患者配偶二元应对的主要影响因素(P<0.05)。结论脑卒中患者及其配偶的二元应对水平正常,再婚的患者及其配偶,有宗教信仰的、婚龄长的配偶二元应对水平较高。抑郁、低收入、病程长、农民及无职业、身体状况差的患者及其配偶二元应对水平相对较低,医护人员应采取有效干预措施提高以上人群的二元应对。Objective To investigate the current situation and influencing factors of the dual coping of stroke patients and their spouses in Qiqihar City.Methods A total of 1,050 inpatients and their spouses who attended the Department of Neurology and Neurosurgery of Qiqihar Comprehensive Hospital from September 2019 to March 2020 were selected as the research objects.Use general information questionnaire,dual response scale,PHQ-9 scale to investigate it,and analyze its dual response status and influencing factors.Results 1016 valid questionnaires were retrieved.The total score of stroke patients'dual response was(123.91±22.69)and the spouse's(123.90±22.44)score,which was higher than the average of dual response,the difference was statistically significant(P<0.05);Single factor analysis showed that there were statistically significant differences in the binary coping scale scores of stroke patients with different education levels,occupations,income,number of comorbidities,duration of illness,marriage history,physical dysfunction,whether living with children,and whether they were depressed(P<0.05);Multiple linear regression analysis showed that depression,limb dysfunction,income,marriage history,number of comorbidities,whether to live with children,occupation,and course of disease were the main influencing factors of dual coping in stroke patients;Patients'limb dysfunction,depression,income,number of patients'comorbidities,religious beliefs,marriage history,marriage age,number of chronic diseases,occupation,and patient's course of disease were the main influencing factors of the dual coping of stroke spouses(P<0.05).Conclusion The dual coping level of stroke patients and their spouses is normal,while the dual coping level of remarried patients and spouses,religious beliefs and long-married spouses is higher.The dual coping level of patients with depression,low income,long course of illness,farmers,no occupation,and poor physical condition and their spouses is relatively low.Medical staff should take effective intervention

关 键 词：二元应对 脑卒中 抑郁 

分 类 号：R493[医药卫生—康复医学]