摘要
背景脑卒中具有患病率高、致残率高的特点,严重影响患者的生存质量,造成患者社会网络的收缩。目的探讨社区老年脑卒中患者的社会网络状况及其影响因素。方法 2017年9—12月,通过多阶段随机抽样方法,对老年脑卒中患者和健康老年人各350例进行问卷调查。采用基本情况调查表调查社会人口学特征,采用脑卒中影响量表评定脑卒中对患者生存质量的影响,采用老年人社会网络量表评价老年人社会参与网络、社会联系网络及社会支持网络状况。采用多元线性回归分析老年人社会参与网络、社会联系网络及社会支持网络的影响因素。结果老年脑卒中患者社会参与网络、社会联系网络及社会支持网络评分均低于健康老年人,差异均有统计学意义(P<0.05)。多元线性回归分析结果显示,文化程度、家庭月收入、情绪是社会参与网络的影响因素;婚姻状况、家庭月收入、记忆与思维、移动能力是社会联系网络的影响因素;家庭月收入、移动能力、交流是社会支持网络的影响因素。结论脑卒中会造成社区老年患者社会网络的改变,不同类型的社会网络影响因素存在差异。国家、社会组织、医疗机构应共同参与,依据不同类型社会网络的影响因素,有针对性地改善老年脑卒中患者的社会网络水平,提高其心理健康水平和生存质量。
Background As a disease with high prevalence and disability rate,stroke seriously impairs the patients' quality of life,leading to a smaller social network.Objective To explore the social network status and influencing factors in community-dwelling elderly stroke patients.Methods By multistage random sampling,350 elderly stroke patients and 350 age-matched healthy adults were selected and received a questionnaire survey from September to December,2017.General Information Form was used to investigate the sociodemographic characteristics.The Chinese version of Stroke Impact Scale(SIS) was adopted to assess the impact of stroke on quality of life.The Chinese version of Social Network Scale was employed to measure the number and frequency of social contacts with friends and family members and social organizations,and the perceived social support received from these sources.Multiple linear regression was used to analyze the influencing factors of the above-mentioned three aspects.Results The average scores of the number and frequency of social contacts with friends and family members and social organizations,and the perceived social support received from these sources in the stroke participants were significantly lower than the healthy participants (P<0.05).Multiple linear regression analysis found that educational attainment,average monthly household income,and emotion status were influencing factors of the number of social contacts with friends and family members and social organizations.Marital status,average monthly household income,memory and thinking,and mobility were influencing factors of the frequency of social contacts with friends and family members and social organizations.Average monthly household income,mobility,and communication were influencing factors of perceived social support received from the sources.Conclusion Stroke may cause changes in the social network of elderly patients in the community,and the influencing factors of different type of social network are dissimilar.In order to improve the me
作者
杨静
陈馨
白忠良
陶生生
潘新祥
胡志
秦侠
YANG Jing;CHEN Xin;BAI Zhongliang;TAO Shengsheng;PAN Xinxiang;HU Zhi;QIN Xia(Behavior Medical Education Research Center,Jining Medical University,Jining 272067,China;School of Public Health,Anhui Medical University,Hefei 230032,China;School of Health Management,Anhui Medical University,Hefei 230032,China)
出处
《中国全科医学》
CAS
北大核心
2019年第10期1243-1246,1250,共5页
Chinese General Practice
基金
国家自然科学基金资助项目(71673002
71573002
71273011)
济宁医学院青年基金项目(ZYQ14KJ05)
关键词
卒中
老年人
社会网络
社会参与
社会支持
生活质量
影响因素分析
Stroke
Aged
Social network
Social participation
Social support
Quality of life
Root cause analysis
