老年脑卒中患者社会隔离现状及影响因素分析  

Current situation and influencing factors of social isolation in elderly stroke patients

作　　者：冯嘉 张延红[2] 朱亚芹[2] 王树艳[2] FENG Jia;ZHANG Yanhong;ZHU Yaqin;WANG Shuyan(Nursing College,Chengde Medical University,Chengde 067000,China;Affiliated Hospital of Chengde Medical University,Chengde 067000,China)

机构地区：[1]承德医学院护理学院,河北承德067000 [2]承德医学院附属医院,河北承德067000

出　　处：《心理月刊》2025年第6期90-94,共5页

基　　金：河北省医学科学研究课题计划(20210454);承德医学院2024年大学生创新创业计划项目(2024172)。

摘　　要：目的调查老年脑卒中患者社会隔离现状,并分析其影响因素。方法采用一般资料调查表、Lubben社会网络量表、家庭关怀指数量表、脑卒中自我效能量表、医院焦虑抑郁量表、社会支持量表对380例老年脑卒中患者展开调查,通过多元线性回归分析其社会隔离的影响因素。结果老年脑卒中患者社会网络量表得分为12.45±5.20分,社会隔离发生率为51.05%。老年脑卒中患者社会网络量表得分与家庭关怀指数量表、脑卒中自我量表、社会支持量表得分均呈显著正相关(P<0.001),与焦虑、抑郁量表得分呈负相关(P<0.001)。多元线性回归分析结果显示,年龄、文化程度、收入水平、Barthel指数、自我效能是老年脑卒中患者社会隔离的影响因素(P<0.05)。结论老年脑卒中患者社会隔离现状严峻,建议临床医护人员根据相关影响因素制定针对性的干预措施,避免其社会隔离的发生与发展,改善其预后状况及生活质量。Objective To investigate the status of social isolation in elderly stroke patients and analyze its influencing factors.Methods A total of 380 elderly stroke patients were investigated by general information questionnaire,Lubben social network sale-6,family apgar index,stroke self efficacy questionnaire,hospital anxiety and depression scale,social support rating scale.The influencing factors were analyzed by multiple linear regression.Results The score of social network scale in elderly stroke patients was 12.45±5.20,and the incidence of social isolation was 51.05%.The scores of social network scale in elderly stroke patients were positively correlated with the scores of family care index scale,stroke self scale and social support scale(P<0.001),and negatively correlated with the scores of anxiety and depression scale(P<0.001).The results of multiple linear regression analysis showed that age,education level,income level,Barthel index and self-efficacy were the influencing factors of social isolation in elderly stroke patients(P<0.05).Conclusion The current situation of social isolation in elderly stroke patients is severe.It is suggested that clinical medical staff should formulate targeted interventions according to relevant influencing factors to avoid the occurrence and development of social isolation and improve their prognosis andquality of life.

关 键 词：老年人 脑卒中 社会隔离 自我效能 社会支持 影响因素分析 

分 类 号：R47[医药卫生—护理学]