老年急性脑梗死介入治疗患者家庭抗逆力现状调查及其影响因素分析  

Investigation of family stress resistance in elderly patients with acute cerebral infarction and analysis of influencing factors

作　　者：李慧[1] 朱梦梦 胡礼婷 LI Hui;ZHU Mengmeng;HU Liting(The First Affiliated Hospital of China University of Science and Technology,Hefei 230000,China)

机构地区：[1]中国科学技术大学附属第一医院,安徽合肥230000

出　　处：《临床医药实践》2025年第3期185-189,共5页Proceeding of Clinical Medicine

摘　　要：目的:调查老年急性脑梗死介入治疗患者家庭抗逆力的现状,并分析可能影响抗逆力的因素。方法:回顾性分析2020年1月-2023年1月行介入治疗的156例急性脑梗死老年患者的临床资料,采用一般资料调查表、家庭抗逆力评定量表等进行评估。结果:156例老年急性脑梗死介入治疗患者家庭抗逆力总分为(95.68±10.66)分。单因素结果显示,不同性别、居住地、与患者关系、是否存在慢性疾病、家属文化程度及宗教信仰的老年急性脑梗死介入治疗患者家庭抗逆力得分比较,差异无统计学意义(P>0.05);不同家庭亲密度、家庭收入、家庭成员健康状况、社会支持、家庭对患者治疗的态度及家庭支持度、神经缺损(NIHSS)评分和日常生活能力(ADL)评分的老年急性脑梗死介入治疗患者家庭抗逆力得分比较,差异有统计学意义(P<0.05)。多元线性回归分析结果显示,家庭亲密度差、家庭月收入<5000元、家庭成员健康状况差、社会支持低、家庭对患者治疗的态度差、家庭支持度低、NIHSS评分>4分及ADL评分≤50分均是老年急性脑梗死介入治疗患者家庭抗逆力的影响因素(P<0.05)。结论:老年急性脑梗死介入治疗患者家庭抗逆力较低,需要加强相关支持和干预措施,提高患者家庭的抗逆力水平,以促进患者康复和生活质量的提高。Objective:To investigate the status quo of family resilience in elderly patients with acute cerebral infarction after interventional therapy,and to analyze the factors that may affect resilience.Methods:The clinical data of 156 elderly patients with acute cerebral infarction who received interventional treatment in hospital from January 2020 to January 2023 were retrospectively analyzed,and evaluated by general data questionnaire and family stress resistance rating scale.Results:The total family stress resistance score of 156 patients with acute cerebral infarction was(96.60±10.66).The single factor results of family stress resistance of elderly patients with acute cerebral infarction interventional therapy showed that there was no statistical difference in family stress resistance score of elderly patients with different gender,place of residence,relationship with patients,whether there were chronic diseases,family education and religious belief(P>0.05).There were statistically significant differences in family stress resistance scores among the aged patients with acute cerebral infarction with different family closeness,family income,family members'health status,social support,family attitude towards treatment and family support,neurological deficit(NIHSS)score and ability of daily living(ADL)(P<0.05).Multiple linear regression analysis of family stress tolerance of elderly patients with acute cerebral infarction showed that Poor family closeness,monthly family income<5000 yuan,poor health status of family members,low social support,poor family attitude towards patient treatment,low family support,NIHSS score>4 and ADL score≤50 were all influencing factors of family resilience in elderly patients with acute cerebral infarction(P<0.05).Conclusion:The family resilience of the elderly patients with acute cerebral infarction is low,and it is necessary to strengthen the relevant support and intervention measures to improve the family resilience level of the patients,so as to promote the rehabilitation and improve

关 键 词：老年 急性脑梗死 介入治疗 家庭抗逆力 现状调查 影响因素 

分 类 号：R743[医药卫生—神经病学与精神病学]