聚类分析模式干预对卒中康复期患者心理弹性和自护能力的影响  

Effect of cluster analysis model intervention on psychological resilience and self care ability of stroke patients during rehabilitation period

作　　者：彭小荷 杨钰[1] 温昌明[1] 李闪闪 马远[1] 于桂青[1] PENG Xiaohe;YANG Yu;WEN Changming;LI Shanshan;MA Yuan;YU Guiqing(Department of Cardiovascular Cerebrovascular Medicine,Nanyang Central Hospital,Nanyang 473005,China;Henan University)

机构地区：[1]河南省南阳市中心医院,473005 [2]河南大学

出　　处：《中国健康心理学杂志》2024年第11期1684-1688,共5页China Journal of Health Psychology

基　　金：国家卫生健康委医疗卫生科技发展研究中心(编号:WKZX2023CZ0132)。

摘　　要：目的:探究聚类分析模式干预对卒中康复期患者的影响。方法:随机将2022年5月-2023年5月某院收治的卒中康复期患者106例分为对照组(n=53,常规干预)和观察组(n=53,聚类分析模式联合常规干预)。比较两组负性情绪[焦虑自评量表(SAS)和抑郁自量表(SDS)]、心理弹性[心理弹性量表(CD-RISC)]、自护能力[自护能力测定量表(ESCA)]、运动和日常功能[Fugl-Meyer评定表(FMA)和采用修订的Barthel指数(MBI)]及生活质量[36条目简明健康量表(SF-36)]。结果:干预后,相较于对照组,观察组SAS评分和SDS评分明显低于对照组(t=-5.203,-5.373;P<0.001),CD-RISC量表各维度评分明显较高(t=5.983,4.088,4.876;P<0.001),ESCA各维度评分明显较高(t=9.351,4.853,6.580,5.050;P<0.001),FMA和MBI评分明显较高(t=5.727,4.520;P<0.001),SF-36各维度评分明显较高(t=6.032,6.295,7.313,6.957,5.645,6.742,8.539,7.035;P<0.001)。结论:针对卒中康复期患者给予聚类分析模式干预,可明显缓解患者的负性情绪,增强心理弹性水平,提高自护能力,改善运动和日常功能,提升生活质量。Objective:To explore the impact of cluster analysis model intervention on stroke patients during rehabilitation.Methods:A total of 106 patients with stroke during rehabilitation period in the hospital from May 2022 to May 2023 were randomized into control group(n=53,routine intervention)andobservation group(n=53,cluster analysis combined with routine intervention).The two groups were compared for negative emotions[Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)],resilience(CD-RISC),self care ability(ESCA),motor and daily functioning(Fugl-Meyer Rating Scale(FMA),and the revised Barthel Index(MBI)and quality of life(SF-36).Results:After intervention,the observation group hadobviously lower SAS score and SDS score compared to the control group,(t=-5.203,-5.373;P<0.001),the scores of each dimension of the CD-RISC scale were significantly higher(t=5.983,4.088,4.876;P<0.001),the scores of each dimension of ESCA were significantly higher(t=9.351,4.853,6.580,5.050;P<0.001),and the scores of FMA and MBI were significantly higher(t=5.727,4.520;P<0.001),The scores of each dimension of SF-36 were significantly higher(t=6.032,6.295,7.313,6.957,5.645,6.742,8.539,7.035;P<0.001).Conclusion:Cluster analysis intervention for stroke patients during rehabilitation can significantly alleviate their negative emotions,enhance their psychological resilience,improve their self care ability,improve exercise and daily functions,and improve their quality of life.

关 键 词：聚类分析模式干预 卒中 康复期 心理弹性 自护能力 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]