護(hù)理研究
2020年6月, 34卷11期
中青年腦卒中病人心理彈性現(xiàn)狀及其影響因素
陳霞，楊貝貝，管文娟，胡海潁，危志娟，孫俊，趙江明，洪靜芳
引用本文： 陳霞，楊貝貝，管文娟，胡海潁，危志娟，孫俊，趙江明，洪靜芳.中青年腦卒中病人心理彈性現(xiàn)狀及其影響因素[J].護(hù)理研究,2020,34(11):1882-1887
摘要： [目的]探討中青年腦卒中病人心理彈性現(xiàn)狀及其影響因素。[方法]采用一般資料問(wèn)卷、心理彈性量表簡(jiǎn)版(CD⁃RISC⁃10)、家庭關(guān)懷度量表（APGAR）、領(lǐng)悟社會(huì)支持量表(PSSS)、醫(yī)學(xué)應(yīng)對(duì)方式問(wèn)卷（MCMQ）、Herth希望量表（HHI）對(duì)222例中青年腦卒中病人進(jìn)行調(diào)查。[結(jié)果]中青年腦卒中病人CD⁃RISC⁃10總分為（28.34±8.36）分，不同工作狀態(tài)、居住狀態(tài)、家庭人均月收入病人CD⁃RISC⁃10得分差異有統(tǒng)計(jì)學(xué)意義（<0.05）。分層回歸分析顯示，家庭適應(yīng)度、家庭支持、HHI得分是中青年腦卒中病人心理彈性的保護(hù)因素,可解釋總體變異量的32.5%。[結(jié)論]中青年腦卒中病人心理彈性處于較低水平，保護(hù)因素包括家庭適應(yīng)度、家庭支持和希望水平。醫(yī)護(hù)人員應(yīng)開(kāi)展以家庭為中心的護(hù)理干預(yù)，有效發(fā)揮家庭的支持作用,鼓勵(lì)病人參與診療決策，增加對(duì)未來(lái)的希望。
關(guān)鍵詞： 腦卒中;青年人;中年人;心理彈性;家庭關(guān)懷度;社會(huì)支持;應(yīng)對(duì)方式;希望;影響因素;保護(hù)因素
課題： 安徽省科技攻關(guān)計(jì)劃項(xiàng)目(1401045019)
Status quo of resilience of young and middle⁃aged stroke patients and its influencing factors
CHEN Xia，YANG Beibei，GUAN Wenjuan，HU Haiying，WEI Zhijuan，SUN Jun，ZHAO Jiangming，HONG Jingfang
Abstract [Objective]To probe into the status quo of resilience of young and middle⁃aged stroke patients and its influencing factors.[Methods]A survey,involving 222 young and middle⁃aged stroke patients,was conducted by using the general information questionnaire,10⁃item Connor⁃Davidson Resilience Scale(CD⁃RISC⁃10),Family APGAR Index (APGAR),Perceived Social Support Scale(PSSS),Medical Coping Modes Questionnaire(MCMQ),and Herth Hope Index (HHI).[Results]The total score in CD⁃RISC⁃10 of young and middle⁃aged stroke patients was 28.34±8.36.There were statistically significant differences in CD⁃RISC⁃10 scores among patients with different working status,living status and monthly household income per capita(<0.05).Stratified regression analysis showed that family fitness,family support, and HHI score were the protective factors of resilience of young and middle⁃aged stroke patients,which could account for 32.5% of the overall variance.[Conclusion]Resilience of young and middle⁃aged stroke patients was at a lower level.And family fitness,family support and hope index were the protective factors of resilience.Medical staff should carry out family-centered nursing intervention,in order to effectively enhance family support function.In addition,medical staff should encourage patients to participate in diagnosis and treatment decisions,and increase patients' hope for the future.
Keywords stroke;young adult;middle aged adult;resilience;family care;social support;coping style;hope;influencing factor;protective factor
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