无症状腔隙性脑梗死患者自我效能现状及其相关影响因素分析  

Analysis of self-efficacy status and related influencing factors in patients with asymptomatic lacunar infarction

作　　者：王梅 邹红 WANG Mei;ZOU Hong(Department of Neurology,General Hospital of Pingxiang Mining Group Co.,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]江西省萍乡矿业集团有限责任公司总医院神经内科,江西萍乡337000

出　　处：《中国当代医药》2025年第11期43-46,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP202140472)。

摘　　要：目的观察无症状腔隙性脑梗死(LI)患者自我效能现状,并分析其相关影响因素。方法选取2020年1月至2022年2月萍乡矿业集团有限责任公司总医院接收的73例无症状LI患者作为研究对象,采用一般自我效能感量表(GSES)评估患者自我效能现状,并探究可能影响患者自我效能感的相关因素。结果73例无症状LI患者的GSES评分为(24.85±3.76)分,处于中等水平;婚姻状况为无配偶、创伤后成长低水平、社会支持低水平、自我感受负担中重度的患者GSES评分低于婚姻状况为有配偶、创伤后成长高水平、社会支持中高水平、自我感受负担轻度的患者,差异有统计学意义(P<0.05);多元线性回归分析结果显示,婚姻状况(B=4.043,95%CI:2.413~5.673,t=4.946)、创伤后成长水平(B=3.587,95%CI:2.241~4.933,t=5.315)、社会支持水平(B=2.436,95%CI:0.132~4.739,t=2.109)、自我感受负担水平(B=3.658,95%CI:1.290~6.025,t=3.081)为无症状LI患者自我效能的独立影响因素(P<0.05)。结论临床需重视无症状LI患者的自我效能感,尤其是具有无配偶、创伤后成长低水平、社会支持低水平、自我感染负担中重度等危险因素的患者,可提供相应干预方案提高患者自我效能感。Objective To observe the status quo of self-efficacy in patients with asymptomatic lacunar infarction(LI)and analyze its related influencing factors.Methods A total of 73 asymptomatic LI patients admitted to General Hospital of Pingxiang Mining Group Co.from January 2020 to February 2022 were selected as the study objects.The general self-efficacy scale(GSES)was used to assess the status quo of patients'self-efficacy,and the related factors that may affect patients'self-efficacy were explored.Results The GSES score of 73 patients with asymptomatic LI was(24.85±3.76),which was at a moderate level.The GSES scores of patients with marital status of no spouse,low level of post-traumatic growth,low level of social support,and moderate to severe self-perceived burden were lower than those of patients with marital status of having a spouse,high level of post-traumatic growth,moderate to high level of social support,and mild self-perceived burden,and the differences were statistically significant(P<0.05).The results of multiple linear regression analysis showed that marital status(B=4.043,95%CI:2.413-5.673,t=4.946),post-traumatic growth level(B=3.587,95%CI:2.241-4.933,t=5.315),social support level(B=2.436,95%CI:0.132-4.739,t=2.109)and self-perceived burden level(B=3.658,95%CI:1.290-6.025,t=3.081)were independent influencing factors of self-efficacy in asymptomatic LI patients(P<0.05).Conclusion Clinical attention should be paid to the self-efficacy of asymptomatic LI patients,especially patients with risk factors such as no spouse,low level of post-traumatic growth,low level of social support,moderate and severe burden of self-infection,and corresponding intervention programs can be provided to improve patients'self-efficacy.

关 键 词：无症状腔隙性脑梗死 自我效能 创伤后成长 社会支持 自我感受负担 

分 类 号：R743.3[医药卫生—神经病学与精神病学]