老年脑卒中患者病耻感核心症状及桥梁症状的网络分析  

Network analysis of core symptoms and bridge symptoms of stigma in elderly stroke patients

作　　者：井坤娟[1] 张秀梅 王贝[2] 杜小静[1] 袁蓓[2] 白利静 刘玉涵 JING Kun-juan;ZHANG Xiu-mei;WANG Bei;DU Xiao-jing;YUAN Bei;BAI Li-jing;LIU Yu-han(School of Nursing,Hebei University,Baoding,Hebei 071000,China;不详)

机构地区：[1]河北大学护理学院,河北保定071000 [2]河北大学附属医院 [3]河北大学医学部

出　　处：《现代预防医学》2024年第15期2813-2817,共5页Modern Preventive Medicine

基　　金：2023—2024年度河北省社会科学基金项目(HB23RK003)。

摘　　要：目的构建老年脑卒中患者病耻感各症状的同期网络,分析其核心症状及桥梁症状,为老年脑卒中患者的病耻感管理提供依据。方法基于课题组2020年5—10月在保定市某三甲医院住院的252例年龄60岁及以上的老年脑卒中患者资料,运用R语言构建同期网络布局,描述症状间的关系,计算中心性指标。结果在同期症状网络分析中,节点中心性指标“生病后感到没面子”预期影响系数(rei=1.266)最高;桥梁预期影响系数前三位的症状为“生病后觉得不受人尊重(rbei=0.783)”“说话含糊不清感到尴尬(rbei=0.783)”“生病后感到没面子(rbei=0.783)”。结论“生病后感到没面子”是病耻感的最重要症状;“生病后觉得不受人尊重”“说话含糊不清感到尴尬”“生病后感到没面子”是连接不同症状的桥梁症状,其中“生病后感到没面子”既是核心症状又是桥梁症状,是病耻感干预的重要靶点。Objective To construct a contemporaneous network of stigma in elderly stroke patients and analyze the core symptoms and bridge symptoms,to provide a basis for managing stigma in elderly stroke patients.Methods Based on the data of 252 elderly stroke patients aged 60 and above admitted to a tertiary hospital in Baoding city from May to October 2020,a contemporaneous network was constructed with the use of R software.The relationships between symptoms were investigated and centrality indices were calculated.Results In the analysis of the contemporaneous symptom network,the expected influence coefficient(rbei=1.266)of the centrality index“feeling ashamed after getting sick”was the highest.The top three bridge symptoms with the highest expected influence coefficients were“feeling disrespected after getting sick(rbei=0.783)”,“feeling embarrassed due to unclear speech(rbei=0.783)”,and“feeling ashamed after getting sick(rbei=0.783)”.Conclusion“Feeling ashamed after getting sick”is the most important symptom of disease shame.“Feeling disrespected after getting sick”,“feeling embarrassed due to unclear speech”,and“feeling ashamed after getting sick”are bridge symptoms connecting different symptoms.Among them,“feeling ashamed after getting sick”is both a core symptom and a bridge symptom,making it an important target for intervention of stigma.

关 键 词：老年脑卒中 病耻感 核心症状 桥梁症状 同期网络 

分 类 号：R743.3[医药卫生—神经病学与精神病学]