急性脑梗死恢复期患者的抗逆力水平及影响因素研究  

Study on the Resilience Level and Influencing Factors in Patients With Acute Cerebral Infarction in the Recovery phas

作　　者：任美丽 宗艳红[1] REN Meili;ZONG Yanhong(Department of NeurologyⅢ,Puyang People’s Hospital,Puyang Henan 457000,China)

机构地区：[1]濮阳市人民医院神经内三科,河南濮阳457000

出　　处：《临床研究》2025年第5期14-17,共4页Clinical Research

摘　　要：目的观察急性脑梗死(ACI)恢复期患者抗逆力水平及影响因素。方法选择2023年2月至2023年7月濮阳市人民医院收治的85例ACI恢复期患者进行横断面调查。制定患者一般资料调查表。采用心理弹性量表(CD-RISC)评估患者抗逆力水平。采用一般自我效能感量表(GSES)、加州大学洛杉矶分校(UCLA)孤独量表、成人依恋量表(AAS)进行问卷调查。采用皮尔逊相关系数分析抗逆力水平与自我效能、孤独感、依恋风格的相关性;采用多元线性回归分析预测抗逆力影响因素。结果85例ACI恢复期患者CD-RISC平均评分为(52.55±6.88)分,低于全国常模标准分。其中女性患者CD-RISC评分低于男性患者,高中及以下文化程度患者CD-RISC评分低于大专及以上文化程度患者,美国国立卫生研究院卒中量表评分(NIHSS)>4分的患者CD-RISC评分低于NIHSS评分≤4分的患者,差异有统计学意义(P<0.05)。皮尔逊相关系数分析结果显示,ACI恢复期患者的抗逆力水平与自我效能呈正相关,与孤独感、依恋焦虑呈负相关,差异有统计学意义(P<0.05)。多元线性回归分析结果显示,女性、高中及以下文化程度、NIHSS评分>4分、自我效能、孤独感、依恋焦虑是ACI恢复期患者抗逆力的独立影响因素(P<0.05)。结论ACI恢复期患者抗逆力水平较低,可能受性别、文化程度、NIHSS评分、自我效能、孤独感及依恋焦虑的影响;临床护理过程中应针对以上因素重点干预,提高患者抗逆力水平,从而改善预后。Objective To observe the resilience level and influencing factors in patients with acute cerebral infarction(ACI)in the recovery phas.Methods A cross-sectional survey was conducted on 85 ACI recovery patients admitted to Puyang People’s Hospital from February 2023 to July 2023.A general information questionnaire was developed for the patients.The Connor-Davidson Resilience Scale(CD-RISC)was used to assess the patients’resilience levels.Questionnaires were also given using the General Self-Efficacy Scale(GSES),University of California,Los Angeles(UCLA)Loneliness Scale,and Adult Attachment Scale(AAS).Pearson correlation coefficients were used to analyze the correlation between resilience level and self-efficacy,loneliness,and attachment styles.Multiple linear regression was used to analyze the predictors of resilience influencing factors.Results The average CD-RISC score for 85 ACI recovery patients was(52.55±6.88),which was lower than the national norm standard score.Female patients had lower CD-RISC scores compared to male patients,and patients with a high school education or lower had lower scores compared to those with a college education or higher.Patients with an NIHSS score>4 had lower CD-RISC scores compared to those with NIHSS scores≤4,with statistically significant differences(P<0.05).Pearson correlation analysis showed that resilience was positively correlated with self-efficacy and negatively correlated with loneliness and attachment anxiety,with statistical significance(P<0.05).Multiple linear regression analysis revealed that female gender,high school education or lower,NIHSS score>4,self-efficacy,loneliness,and attachment anxiety were independent influencing factors of resilience in ACI recovery patients(P<0.05).Conclusion The resilience level of ACI recovery patients is relatively low,potentially influenced by gender,educational level,NIHSS score,self-efficacy,loneliness,and attachment anxiety.Key interventions should focus on these factors during clinical care to improve patients’resilienc

关 键 词：急性脑梗死 恢复期 抗逆力 影响因素 

分 类 号：R743.33[医药卫生—神经病学与精神病学]