泰安市脑卒中患者社会支持与创伤后应激障碍之间的关系  

Relationship of Social Support and Post-traumatic Stress Disorder Among Patients with Stroke in Tai’an

作　　者：史文 王小亮[2] 陈丽萍 SHI Wen(School of Nursing,Shandong First Medical University&Shandong Academy of Medical Sciences,Taian,Shandong,271016,China)

机构地区：[1]山东第一医科大学(山东省医学科学院)护理学院,山东泰安271016 [2]泰安市中医医院脑病科,山东泰安271016

出　　处：《医学与社会》2023年第2期79-83,共5页Medicine and Society

基　　金：泰安市2020年度哲学社会科学规划研究项目,编号为2020skx099;山东省大学生创新创业训练计划项目,编号为S201910439113。

摘　　要：目的:探索脑卒中患者社会支持与创伤后应激障碍之间的关系,分析其医学应对方式在两者之间所起到的作用,为改善脑卒中患者身心健康提供参考。方法:通过分层整群抽样调查方法,共选择泰安市3所医院的脑卒中患者进行问卷调查,并对数据进行统计分析。结果:共得到531份有效问卷。年龄(F=3.433,P=0.037)和婚姻状况(t=4.713,P=0.041)在脑卒中患者创伤后应激障碍得分上差异有统计学意义。脑卒中患者社会支持、医学应对方式与创伤后应激障碍均具有显著相关性(P<0.01)。回避应对方式在脑卒中患者社会支持与创伤后应激障碍间存在中介效应,效应值为-0.654。结论:社会支持可直接对脑卒中患者创伤后应激障碍产生负向预测作用,也可通过回避应对方式间接影响创伤后应激障碍。通过给予患者更多的支持,避免患者以消极的态度回避疾病和治疗康复,可减轻创伤后应激障碍症状。Objective: To explore the relationship between social support and post-traumatic stress disorder of stroke patients, and to analyze the role of medical coping style between them, so as to provide references for improving the physical and mental health of stroke patients. Methods: Stroke patients from 3 hospitals in Tai’an were selected by stratified cluster sampling survey, and the data were statistically analyzed. Results: A total of 531 valid questionnaires were obtained. Age(F=3.433, P=0.037) and marital status(t=4.713, P=0.041) were the influencing factors of post-traumatic stress disorder in stroke patients. Social support, medical coping style and post-traumatic stress disorder of stroke patients were significantly correlated(P<0.01). Avoidance coping styles had a mediating effect between social support and post-traumatic stress disorder of stroke patients with an effect value of-0.654. Conclusion: Social support can directly affect the post-traumatic stress disorder of stroke patients, and it can also indirectly affect the post-traumatic stress disorder of stroke patients through avoidance coping style. Through giving more support to patients, patients can be prevented from avoiding diseases and treating and recovering passively, and the symptoms of post-traumatic stress disorder can be alleviated.

关 键 词：心理健康 创伤后应激障碍 社会支持 应对方式 脑卒中 泰安 

分 类 号：R195.4[医药卫生—卫生统计学]