恢复期脑卒中患者康复复原力状况及影响因素分析  

Resilience and its influencing factors of convalescent stroke patients

作　　者：李晓燕[1] 唐红[1] 胡发云[1] LI Xiao-yan;TANG Hong;HU Fa-yun(West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院,四川成都610041

出　　处：《华南预防医学》2021年第8期976-980,共5页South China Journal of Preventive Medicine

摘　　要：目的调查恢复期脑卒中患者康复复原力水平现状并探讨其影响因素,为提高个体逆境适应能力的康复复原治疗和干预提供理论指导。方法以2019年12月至2020年12月期间成都市某医院诊治的处于恢复期准备出院的脑卒中患者作为研究对象进行康复复原力状况调查,采用描述流行病学分析方法对恢复期脑卒中患者康复复原力情况进行描述分析,并采用单、多因素分析方法对患者康复复原力影响因素进行分析。结果本研究共收集恢复期脑卒中患者有效问卷306份,患者年龄18~85岁,男女性别比为1.4∶1,缺血性卒中占54.33%;脑卒中患者康复复原力的平均得分为(128.57±16.69)分,条目均分为(3.67±0.81)分,得分率为73.47%,整体得分处于中等水平。多元线性回归分析结果显示,文化程度越高(β’=0.025)、在岗(β’=0.084)、家庭月收入越高(β’=0.109)、主要照顾者为家属(β’=0.101)、NIHSS评分越高(β’=0.249)、Barthel指数越高(β’=0.291)的恢复期脑卒中患者康复复原力得分可能越高。结论恢复期脑卒中患者康复复原力一般,影响患者康复复原力的因素较多,医护人员需重视脑卒中患者的个体情况制定康复计划,增强患者的逆境适应能力和心理复原力,帮助患者积极康复以适应新的生活状态。Objective To investigate the current situation of resilience level of convalescent stroke patients and explore its influencing factors,so as to provide theoretical guidance for rehabilitation treatment and intervention to improve individual adaptability to adversity.Methods Stroke patients in convalescence who were diagnosed and treated and ready for discharged in a hospital in Chengdu from December 2019 to December 2020 were taken as the research object to investigate the status of resilience.Descriptive epidemiological analysis method was used to describe and analyze the resilience of convalescent stroke patients,and its influencing factors were analyzed by univariate and multivariate analysis.Results This study collected a total of 306 valid questionnaires for convalescent stroke patients.The patients were 18 to 85 years old,the ratio of male to female was 1.4∶1,and ischemic stroke accounted for 54.33%.The average score of resilience of stroke patients was(128.57±16.69)points,the average score of each item was(3.67±0.81)points,the scoring rate was 73.47%,and the overall score was at a medium level.The results of multiple linear regression analysis showed that the higher the education level(β‘=0.025),on-the-job(β’=0.084),the higher the monthly household income(β‘=0.109),the main caregivers were family members(β’=0.101),the higher the NIHSS score(β‘=0.249),and the higher the Barthel index(β’=0.291),the higher the resilience score of convalescent stroke patients may be.Conclusion Resilience of convalescent stroke patients is general,and there are many factors affecting it.Medical staff should pay attention to the individual situation of stroke patients to formulate a rehabilitation plan,enhance the adversity adaptability and psychological resilience of patients,and help patients recover actively to adapt to the new living state.

关 键 词：脑卒中 康复 复原力 影响因素 

分 类 号：R195[医药卫生—卫生统计学] R473.74[医药卫生—卫生事业管理]