缺血性脑卒中患者残障接受度及其影响因素研究  

Disability acceptance and its influencing factors in patients with cerebral ischemic stroke

作　　者：兰端云 孙军[1] 温昌明[1] 王洁[1] Lan Duanyun;Sun Jun;Wen Changming;Wang Jie(Nanyang Central Hospital,Nanyang 473000,Henan,China)

机构地区：[1]南阳市中心医院,河南南阳473000

出　　处：《临床心身疾病杂志》2024年第5期112-118,共7页Journal of Clinical Psychosomatic Diseases

摘　　要：目的了解缺血性脑卒中患者的残障接受度及其影响因素,为临床干预提供依据。方法对258例缺血性脑卒中患者采用一般资料调查表、改良Barthel指数评定量表、伤残接受度量表、正性负性情绪量表、状态自尊量表、美国国立卫生研究院卒中量表(NIHSS)进行测评分析,对缺血性脑卒中患者残障接受度的影响因素进行单因素分析、Pearson相关分析及多元线性回归分析。结果缺血性脑卒中患者伤残接受度量表总分为(72.67±8.32)分,其中在残障接受度方面,低接受度患者121例(46.90%),中接受度患者97例(37.60%),高接受度患者40例(15.50%)。多元线性回归分析显示年龄、文化程度、婚姻状况、NIHSS评分、积极率、状态自尊量表总分、家庭平均月收入、病程、发作次数、改良Barthel指数评定量表评分是缺血性脑卒中患者残障接受度的影响因素(P<0.05或0.01)。结论缺血性脑卒中患者残障接受度处于中度偏下水平,其影响因素众多,临床医护人员应结合残障接受度的影响因素,及时给予对症干预,提高患者的残障接受度。Objective To investigate the disability acceptance and influencing factors in patients with cerebral ischemic stroke(CIS)in order to provide basis for clinical intervention.Methods Assessments and analyses were performed in 258 CIS patients using general information questionnaires,modified Barthel Index(MBI),Adaptation of Disability Scale-revised(ADS-R),Positive and Negative Affect Schedule(PANAS),State Self-esteem Scale(SSES),and National Institutes of Health Stroke Scale(NIHSS),influencing factors of disability acceptance analyzed using univariate analysis,Pearson correlation analysis,and multiple linear regression analysis.Results The total score of the ADS-R in CIS patients was(72.67±8.32),of them ones with low acceptance were 121(46.90%),medium acceptance 97(37.60%),and high acceptance 40(15.50%).Multiple linear regression analysis showed that age,education level,marital status,NIHSS score,positivity rate,the total score of the SSES,average monthly household income,course of disease,episode frequency,and the score on MBI were the influencing factors of disability acceptance in CIS patients(P<0.05 or 0.01).Conclusion Disability acceptance of CIS patients is in the moderate-lower level,influencing factors are numerous,to them timely symptomatic intervention should be clinically given according to influencing factors of disability acceptance in order to improve disability acceptance.

关 键 词：缺血性脑卒中 残障接受度 影响因素 情感 状态自尊 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R395[医药卫生—临床医学]