脑梗死后偏瘫患者社交回避与苦恼现状及其影响因素分析  

Investigation of social avoidance and distress in patients with hemiplegia after cerebral infarction and analysis of its influencing factors

作　　者：洪丹 史梦颖 崔琦 HONG Dan;SHI Mengying;CUI Qi(Department of Neurology,Fuyu County People's Hospital,Qiqihar 161200,China)

机构地区：[1]富裕县人民医院神经内科,黑龙江齐齐哈尔161200

出　　处：《心理月刊》2025年第6期213-215,共3页

摘　　要：目的分析脑梗死后偏瘫患者社交回避与苦恼具体情况及其影响因素。方法选取2022年5月~2024年5月富裕县人民医院收治的124例脑梗死后偏瘫患者,以社交回避与苦恼量表(SADS)评估其社交回避及苦恼情况,另收集患者的年龄、性别等资料,统计影响此类患者社交回避及苦恼的危险因素。结果124例脑梗死后偏瘫患者,SADS评分为14.95±2.31分,处在中等水平;单因素分析显示:性别、吸烟史、饮酒史、基础疾病、居住地、婚姻状况、医疗支付方式与脑梗死后偏瘫患者社交回避及苦恼无关,无统计学差异(P>0.05);年龄、文化程度、家庭平均月收入、心理弹性、病耻感、对他人依赖程度与脑梗死后偏瘫患者社交回避及苦恼有关,有统计学差异(P<0.05);多元线性回归分析显示:年龄<60岁(B=2.713,SE=1.045)、高中及以下文化(B=1.804,SE=0.532)、家庭平均月收入<5000元(B=1.942,SE=0.604)、心理弹性低下(B=1.635,SE=0.472)、高病耻感(B=1.438,SE=0.498)、对他人重度依赖(B=2.035,SE=0.672)是脑梗死后偏瘫患者社交回避及苦恼的独立危险因素(P<0.05)。结论年龄<60岁、高中及以下文化、家庭平均月收入<5000元、心理弹性低下、高病耻感、对他人重度依赖是脑梗死后偏瘫患者社交回避及苦恼的高危因素。Objective To analyze the specific situation and influencing factors of social avoidance and distress in patients with hemiplegia after cerebral infarction.Methods 124 patients with hemiplegia after cerebral infarction admitted to Fuyu County People's Hospital from May 2022 to May 2024 were selected to evaluate their social avoidance and distress by social avoidance and distress scale(SADS).The age and gender of patients were also collected to analyze the risk factors affecting social avoidance and distress of these patients.Results The SADS score of 124 patients with hemiplegia after cerebral infarction was 14.95±2.31,which was in the medium level.Univariate analysis showed that gender,smoking history,drinking history,underlying diseases,place of residence,marital status,medical payment method had no significant difference with social avoidance and distress of patients with hemiplegia after cerebral infarction(P>0.05).Age,education level,average monthly family income,psychological resilience,stigma,dependence on others were related to social avoidance and distress of patients with hemiplegia after cerebral infarction,and there were statistical differences(P<0.05).Multiple linear regression analysis shows:Age<60 years old(B=2.713,SE=1.045),high school education or below(B=1.804,SE=0.532),average monthly family income<5000 yuan(B=1.942,SE=0.604),low mental resilience(B=1.635,SE=0.472),high stigma(B=1.438,SE=0.498),and heavy dependence on others(B=2.035,SE=0.672)were independent risk factors for social avoidance and distress in patients with hemiplegia after cerebral infarction(P<0.05).Conclusion Age<60 years old,high school education or below,average monthly family income<5000 yuan,low mental resilience,high stigma,and heavy dependence on others are high risk factors for social avoidance and distress in patients with hemiplegiaaftercerebral infarction.

关 键 词：脑梗死后偏瘫 社交回避 苦恼 影响因素 基础疾病 心理弹性 

分 类 号：B84[哲学宗教—心理学]