脑卒中病人配偶照顾者出院过渡期心理适应水平及其影响因素  

The psychological adaptation level and influencing factors of spouse caregivers for stroke patients in the transition period after discharge

作　　者：陈燕[1] 索莉娜[1] 刘梦珂 邝又新[1] 苏丽丽[1] 张志飞[1] CHEN Yan;SUO Lina;LIU Mengke;KUANG Youxin;SU Lili;ZHANG Zhifei(Henan Provincial People's Hospital,Henan 450003 China)

机构地区：[1]河南省人民医院,河南450003

出　　处：《护理研究》2024年第8期1351-1357,共7页Chinese Nursing Research

摘　　要：目的:调查脑卒中病人配偶照顾者出院过渡期的心理适应水平,分析其影响因素。方法:采用一般情况调查表、心理适应量表(PAS)、中文版Connor-Davidson心理韧性量表(CD-RISC-25)和相依关系量表(MS)对237例脑卒中病人配偶照顾者于出院前后进行调查。结果:出院前1 d及出院后1、3、6个月脑卒中病人配偶照顾者PAS得分分别为60(52,68)分、61(53,70)分、67(57,76)分、72(61,80)分。广义估计方程结果显示,男性配偶、配偶有照顾经验、配偶高相依关系及高心理韧性是脑卒中病人配偶照顾者PAS得分的保护因素,家庭经济负担是脑卒中病人配偶照顾者PAS得分的危险因素。结论:脑卒中病人配偶照顾者心理适应水平在出院后呈上升发展趋势,应提升配偶照顾者的相依关系及心理韧性,以改善其心理适应状况。Objective:To investigate the psychological adaptation level of spouse caregivers for stroke patients in the transition period after discharge,and to analyze its influencing factors.Methods:A total of 237 spouse caregivers of stroke patients were investigated before and after discharge by using the general situation questionnaire,Psychological Adjustment Scale(PAS),Chinese version of Connor-Davidson Resilience Scale(CD-RISC-25)and Mutuality Scale(MS).Results:The PAS scores of spouse caregivers of stroke patients in 1 day before discharge and 1 month,3 months and 6 months after discharge were 60(52,68),61(53,70),67(57,76)and 72(61,80)respectively.The results of generalized estimation equation showed that male spouse,spousal caregiving experience,high mutuality and high resilience were protective factors of PAS scores of spouse caregivers for stroke patients,and family financial burden was a risk factor for PAS scores of spouse caregivers for stroke patients.Conclusions:The psychological adaptation level of the spouse caregivers for stroke patients was increasing after discharge.The mutuality and resilience of spouse caregivers should be improved to improve their psychological adaptation.

关 键 词：脑卒中 配偶照顾者 心理适应 相依关系 心理韧性 影响因素 

分 类 号：R473.74[医药卫生—护理学]