老年脑卒中患者社会疏离感的影响因素分析  

Influencing factors for social alienation among elderly stroke patients

作　　者：龚莉英 范明娜[1] 张秀红[1] 徐哲 GONG Liying;FAN Mingna;ZHANG Xiuhong;XU Zhe(Department of Neurology,Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou,Zhejiang 310007,China)

机构地区：[1]杭州市中医院神经内科,浙江杭州310007

出　　处：《预防医学》2024年第11期980-983,共4页China Preventive Medicine Journal

基　　金：浙江省医药卫生科技计划项目(2021KY256)。

摘　　要：目的了解老年脑卒中患者社会疏离感的影响因素,为老年慢性病患者社会疏离的预防提供参考。方法于2024年1—6月,选择杭州市中医院就诊的≥60岁脑卒中患者为研究对象,通过问卷收集人口学信息和疾病情况等资料;采用一般疏离感量表评估社会疏离感,采用脑卒中患者病耻感量表评估病耻感,采用领悟社会支持量表评估社会支持水平;采用多重线性回归模型分析老年脑卒中患者社会疏离感的影响因素。结果调查老年脑卒中患者283例,男性165例,占58.30%;女性118例,占41.70%。年龄为(69.55±8.72)岁。社会疏离感得分为(41.72±6.10)分,病耻感得分为(43.70±8.96)分,社会支持得分为(59.86±10.22)分。多重线性回归分析结果显示,文化程度(高中/中专,β'=-0.157;大专及以上,β'=-0.322)、家庭人均月收入(≥3000元,β'=-0.260)、脑卒中次数(复发,β'=0.181)、合并慢性病数量(≥2种,β'=0.165)、生活自理程度(部分自理,β'=0.142;不能自理,β'=0.308)、病耻感(β'=0.277)和社会支持(β'=-0.253)是老年脑卒中患者社会疏离感的影响因素。结论老年脑卒中患者社会疏离感与文化程度、家庭人均月收入、脑卒中次数、合并慢性病数量、生活自理程度、病耻感和社会支持有关。Objective To investigate the factors affecting social alienation among elderly stroke patients,so as to pro⁃vide the reference for the prevention of social alienation among elderly patients with chronic disease.Methods The stroke patients aged≥60 years who visited Hangzhou Hospital of Traditional Chinese Medicine from January to June 2024 were selected as subjects.Demographic information and disease status were collected through questionnaire sur⁃veys.Social alienation,stigma and social support were assessed using the General Alienation Scale,Stroke-Specific Stig⁃ma Scale and Perceived Social Support Scale,respectively.Factors affecting social alienation among elderly stroke pa⁃tients were analyzed by using a multiple linear regression model.Results Totally 283 elderly stroke patients were sur⁃veyed,including 165 males(58.30%)and 118 females(41.70%).The mean age was(69.55±8.72)years.The mean scores for social alienation,stigma and social support was(41.72±6.10),(43.70±8.96)and(59.86±10.22)points,respec⁃tively.Multiple linear regression analysis identified educational level(high school/technical secondary school,β'=-0.157;college degree or above,β'=-0.322),household monthly income per capita(≥3000 yuan,β'=-0.260),number of stroke occurrences(recurrent stroke,β'=0.181),number of comorbid chronic diseases(≥2,β'=0.165),self-care ability(partial⁃ly self-care,β'=0.142;unable to self-care,β'=0.308),stigma(β'=0.277)and social support(β'=-0.253)as factors af⁃fecting social alienation among elderly stroke patients.Conclusion Social alienation among elderly stroke patients is as⁃sociated with educational level,household monthly income per capita,number of stroke occurrences,number of comor⁃bid chronic diseases,self-care ability,stigma and social support.

关 键 词：老年人 脑卒中 社会疏离 社会支持 影响因素 

分 类 号：R743[医药卫生—神经病学与精神病学]