首发急性缺血性脑卒中患者就医决策延迟与希望水平、 社会支持和应对方式的相关性  

Correlation between Medical Decision-making Delay and Hope Level,Social Support and Coping Style in Patients with Primary Acute Ischemic Stroke

作　　者：杨威[1] 朱雪梅[1] 沈晓颖[1] 崔岩[1] 杜欣[1] 逄冬[2] YANG Wei;ZHU Xuemei;SHEN Xiaoying;CUI Yan;DU Xin;PANG Dong(Department of Nursing,Second Affiliated Hospital of Harbin Medical University,Harbin 150036,Heilongjiang Province,China;Department of Neurology,Second Affiliated Hospital of Harbin Medical University)

机构地区：[1]哈尔滨医科大学附属第二医院临床护理教研室,黑龙江哈尔滨150036 [2]哈尔滨医科大学附属第二医院神经内科

出　　处：《解放军护理杂志》2021年第6期42-45,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的了解首发急性缺血性脑卒中(acute ischemic stroke,AIS)患者的就医决策延迟现状,并探讨希望水平、社会支持和应对方式与首发AIS患者就医决策延迟的关系。方法采用一般资料调查问卷、社会支持量表、Herth希望量表、简易应对方式问卷对首发AIS患者进行问卷调查,构建中介效应模型对四者间的关系进行分析。结果共纳入243例患者,就医决策时间为(125.09±6.78)min。社会支持及各维度和希望水平及各维度及应对方式中积极应对与就医决策延迟时间呈负相关,消极应对与就医决策延迟时间正相关。社会支持和积极应对在希望水平和就医决策延迟时间上发挥部分中介效应,中介效应占总效应的91%。结论临床护士及社区卫生保健人员应多关注脑卒中高危人群,积极为其争取来自家庭、社会的支持,指导其主动采取就医行为,切实缩短就医决策延迟时间。Objective To investigate the status quo of medical decision-making delay in patients with primary acute ischemic stroke(AIS)and to explore its relationship with the level of hope,social support and coping style.Methods A survey was conducted with the general information questionnaire,social support scale,herth hope scale and simple coping style questionnaire.The mediating effect model were constructed to analyze the relationship between the four factors.Results A total of 243 patients were included,and the decision time for medical treatment was(125.09±6.78)minutes.There was a negative correlation between medical decision-making delay and social support,level of hope,as well as positive coping style.There was a positive correlation between medical decision-making delay and negative coping style.Social support and positive coping had partial mediating effect on the level of hope and the delay time of medical decision-making,and the mediating effect accounted for 91%of the total effect.Conclusions Clinical nurses and community healthcare personnel should pay more attention to the high-risk population of stroke,actively strive for the support from family and society,guide them to take the initiative to seek medical help,and effectively shorten the delay time of medical decision-making.

关 键 词：首发急性缺血性脑卒中 就医决策延迟 希望水平 应对方式 社会支持 中介效应 

分 类 号：R473.74[医药卫生—护理学]