急性脑梗死患者心理弹性水平的影响因素  

Influencing factors on the level of psychological resilience in patients with acute cerebral infarction

作　　者：王君[1] 张帅[1] 陈伟华 李西娟[1] 刘艳娜 朱长举[1] WANG Jun;ZHANG Shuai;CHEN Weihua;LI Xijuan;LIU Yanna;ZHUChangju(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《中国实用神经疾病杂志》2022年第1期98-102,共5页Chinese Journal of Practical Nervous Diseases

基　　金：河南省医学教育研究项目(编号Wjlx2019011);郑州大学2020年度校级教育教学改革研究与实践项目(编号:2020zzuJXLX083)。

摘　　要：目的探讨急性脑梗死(ACI)患者心理弹性水平的影响因素,为提高ACI患者心理弹性水平、改善患者预后提供理论依据。方法选取郑州大学第一附属医院急诊科2021-01—10收治的194例ACI患者为研究对象,采用简易疾病感知量表、一般自我效能感量表、社会支持评定量表及心理弹性量表进行问卷调查;采用二元Logistic回归分析研究ACI患者心理弹性水平的影响因素;采用Pearson相关分析探讨不同因素与心理弹性水平的线性相关性。结果心理弹性水平低下组(L-PRL组)69例,占35.57%;心理弹性水平正常组(N-PRL组)125例,占64.43%。L-PRL组社会支持和自我效能均低于N-PRL组,而疾病感知高于N-PRL组,差异均具有统计学意义(P<0.05)。二元Logistic回归分析结果显示自我效能和疾病感知为ACI患者心理弹性水平低下的独立影响因素(P<0.05)。经Pearson相关分析显示,疾病感知与ACI患者心理弹性水平呈负相关(r=—0.393,P<0.001),自我效能与ACI患者心理弹性水平呈正相关(r=0.514,P<0.05)。结论ACI患者心理弹性水平与患者自我效能和疾病感知有关,提高患者自我效能感,进而提高心理弹性水平,对疾病的治疗及预后具有积极意义。Objective To investigate the influencing factors of the level of psychological resilience in patients with acute cerebral infarction(ACI),and to provide a theoretical basis for improving the resilience level and improving the prognosis of the disease of ACI patients.Methods A total of 194 ACI patients admitted to Emergency Department of the First Affiliated Hospital of Zhengzhou University from January 2021 to October 2021 were selected as the research objects.The Simple Illness Perception Scale,General Self-Efficacy Scale,Social Support Rating Scale and Psychological Resilience Scale were used to conduct a questionnaire survey;binary Logistic regression was used to analyze the influencing factors of resilience level in ACI patients.Pearson correlation analysis was used to explore the linear correlation between different influencing factors and resilience level.Results There were 69 cases in the low psychological resilience level group(Low Psychological Resilience level,L-PRL group),accounting for 35.57%;125 cases in the normal psychological resilience level group(Normal Psychological Resilience level,N-PRL group),accounting for 64.43%.The social support and self-efficacy of the L-PRL group were lower than those of the N-PRL group,and the disease perception was higher than that of the N-PRL group,and the differences were statistically significant(P<0.05).The results of binary Logistic regression analysis showed that self-efficacy and disease perception were the independent influencing factors of low resi lience level in ACI patients(P<0.05).The Pearson correlation analysis showed that disease perception was negatively correlated with the resilience level of ACI patients(r=—0.393,P<0.001),and self-efficacy was positively correlated with the resilience level of ACI patients(r=0.514,P<0.05).Conclusion The level of resilience in ACI patients is related to patients’self-efficacy and disease perception.Improving patients’self-efficacy,thereby improving the level of psychological resilience,may have positive signi

关 键 词：急性脑梗死 疾病感知 自我效能 社会支持 心理弹性 

分 类 号：R473.74[医药卫生—护理学]