缺血性脑卒中患者伤残接受度的相关影响因素分析  

Influencing factors for acceptance of disability in ischemic stroke patients

作　　者：王娟[1] 王艳[1] 韩雅娜 刘晓彤 王月红 王腾 张海娇 唐丽梅[1] WANG Juan;WANG Yan;HAN Yana(Department of Neurology,the Second Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院神经内科,石家庄市050000 [2]河北省邯郸市中心医院急诊科

出　　处：《河北医药》2024年第14期2215-2217,2221,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题(编号:20170608)。

摘　　要：目的 研究影响缺血性脑卒中患者伤残接受度的相关影响因素。方法 选取2021年1月至2022年10月河北医科大学第二医院神经内科住院的缺血性脑卒中患者696例,采用一般资料调查表、伤残接受度量表、自我管理能力量表、社会支持量表及焦虑自评量表进行调查。结果 缺血性脑卒中患者伤残接受度量表得分为(65.63±11.30)分。多元线性回归结果显示,影响缺血性脑卒中患者伤残接受度的主要因素为文化程度、经济水平、对病情了解情况(P<0.05),自我管理能力与其伤残接受度呈正相关(r=0.557,P<0.01),社会支持度与其伤残接受度呈正相关(r=0.363,P<0.05),焦虑与其伤残接受度呈负相关(r=-0.665,P<0.01)。结论 缺血性脑卒中患者伤残接受度接受水平较低,与患者自我管理能力、社会支持呈正相关,与焦虑呈负相关,医务人员应给予重视,及时对患者进行心理干预,促进伤残接受度水平的提高,改善其身心健康。Objective To analyze the influencing factors for acceptance of disability(AD) of ischemic stroke(IS) patients.Methods A total of 696 IS patients hospitalized in the Department of Neurology,the Second Hospital of Hebei Medical University from January 2021 to October 2022 were enrolled.The General Information Questionnaire,Acceptance of Disability Scale(ADS),self-management ability questionnaire(SMAQ),Social Support Rating Scale(SSRS),and Self-rating Anxiety Scale(SAS) were performed to survey.Results The score of ADS in the IS patients was 65.63±11.30 points.Multiple linear regression results showed that education level,economic level and knowledge of the disease were the main factors affecting AD in IS patients(P<0.05).AD was positively correlated with self-management ability(r=0.557,P<0.01) and social support(r=0.363,P<0.05),and negatively correlated with anxiety(r=-0.665,P<0.01).Conclusion AD in IS patients is relatively lower,which is positively correlated with self-management ability and social support,and negatively correlated with anxiety.Medical staff should pay attention and provide timely psychological intervention.It contributes to the improvement of AD,thereby improving their physical and mental health.

关 键 词：缺血性脑卒中 伤残接受度 影响因素 相关性分析 

分 类 号：R174.7[医药卫生—妇幼卫生保健]