脑出血患者术后自我感受负担与正念水平的相关性  

Correlation between postoperative self-feeling burden and mindfulness level in patients with cerebral hemorrhage

作　　者：薛春丽[1] XUE Chunli(Zhengzhou People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院,河南郑州450000

出　　处：《中国实用神经疾病杂志》2021年第9期795-799,共5页Chinese Journal of Practical Nervous Diseases

摘　　要：目的观察脑出血(CH)患者术后自我感受负担(SPB)情况,分析正念水平与SPB的关系,以早期干预、减轻CH患者术后SPB程度。方法选取郑州人民医院2019-04—2020-03接受手术治疗的79例CH患者为研究对象,参照自我感受负担量表(SPBS)评估患者SPB情况并分组;设计基线资料调查问卷,采集患者基线资料,将可能的影响因素纳入,经单因素、多因素分析找出CH患者术后SPB影响因素,重点观察正念水平对患者术后SPB的影响,并分析正念水平与SPBS评分的关系。结果79例CH患者术后27例SPB严重,占34.18%;经单因素分析后建立多元回归模型行多因素分析,结果显示婚姻不完整、自觉经济压力大、术前GCS评分≤12分、正念水平低下均是CH术后患者SPB严重的影响因素(OR>1,P<0.05),正念水平低下的影响最为显著,可能为独立危险因素。双变量Pearson直线相关性分析显示,正念水平评分与SPBS评分呈正相关(r>0,P<0.05)。结论CH患者术后部分存在较严重的自我感受负担,可能受患者婚姻不完整、自觉经济压力大、术前GCS评分≤12分、正念水平低下等因素影响,且以正念水平低下带来的影响最为显著,临床应重视CH患者术后自我感受负担评价,自我感受负担严重的患者应针对性给予干预,重点关注其正念水平带来的影响,可能对治疗的顺利进行有重要意义。Objective To observe postoperative self-perceived burden(SPB)in patients with cerebral hemorrhage(CH),and to analyze the relationship between the patient’s mindfulness level and SPB,in order to early intervene and reduce the degree of SPB after CH patients.Methods A total of 79 CH patients who underwent surgical treatment in Zhengzhou People’s Hospital from April2019 to March 2020 were selected as the research objects. Referred to the self-feeling burden scale(SPBS)to assess the SPB status of all patients and divided them into groups;designed a baseline survey questionnaire,collected baseline data of patients and included possible influencing factors,through univariate and multivariate analysis,the influencing factors of postoperative SPB in CH patients were found,focused on observing the influence of mindfulness level on postoperative SPB of patients,and analyzed the relationship between mindfulness level and the patient’s SPBS score.ResultsAmong 79 patients with CH after operation,27 cases had severe SPB,accounting for 34.18%;after single factor analysis,a multiple regression model was established and multi-factor analysis was performed. The results showed that incomplete marriage,conscious economic pressure,preoperative GCS score ≤12 points,and low level of mindfulness were all influential factors for severe SPB in patients after CH(OR>1,P<0.05). Among them,the low level of mindfulness had the most significant impact,which might be an independent risk factor;the bivariate Pearson linear correlation test showed that the mindfulness level score was positively correlated with the SPBS score(r>0,P<0.05).Conclusion The postoperative part of CH patients has a serious self-perceived burden,which may be affected by factors such as incomplete marriage,conscious economic pressure,preoperative GCS score ≤12 points,and low level of mindfulness,and the impact of the low level of mindfulness is the most significant. The clinic should pay attention to the evaluation of postoperative self-feeling burden of CH patien

关 键 词：脑出血 自我感受负担 正念水平 相关性 影响因素 

分 类 号：R473.74[医药卫生—护理学]