摘要
目的探讨老年脑卒中患者的述情障碍状况及影响因素。方法采用自行设计的一般情况调查表、多伦多述情障碍量表(TAS-20)、社会支持评定量表(SSRS)和汉密尔顿抑郁量表(HAMD),对2017年8月—2018年4月年在河南省某三级甲等医院神经内科住院的200例老年脑卒中患者进行问卷调查。结果老年脑卒中患者述情障碍得分为(67.42±9.13)分,发生率为51%,主要表现为外向性思维和识别情感障碍。多重逐步回归分析显示,年龄、偏瘫、失语、社会支持、抑郁状况是老年脑卒中患者述情障碍的主要影响因素,可解释述情障碍总变异的50.6%。结论老年脑卒中患者述情障碍现状有待改善,临床护理工作者及患者家属在护理老年脑卒中患者的同时,应关注患者的情感表达、思维方式、抑郁状况,尤其是对高龄、偏瘫、失语、丧失自理能力等患者;另一方面还可利用社会支持改善患者的述情障碍,以减少并发症,改善临床结局,提高其生活质量。
Objective To explore the current status and influencing factors of alexithymia among elderly stroke patients.Methods From August 2017 to April 2018,we investigated 200 elderly stroke inpatients in Neurology Department at a ClassⅢGrade A hospital in Henan with the self-designed General Information Questionnaire,Toronto Alexithymia Scale 20(TAS-20),Social Support Rate Score(SSRS)and Hamilton Depression Scale(HAMD).Results Among those stroke patients,the score of alexithymia was(67.42±9.13)and the incidence rate was 51%,which was mainly manifested in extroverted thinking and recognition emotional disorders.Multiple stepwise regression analysis showed that the main influencing factors of alexithymia in elderly stroke patients were the age,hemiplegia,aphasia,social support and depression,which could explain 50.6%of the variation in alexithymia.Conclusions Alexithymia of elderly stroke patients needs to be improved.While providing nursing care for elderly stroke patients,clinical nursing workers and family members of patients should pay attention to patients'emotional expression,thinking style and depression,especially for patients with advanced age,hemiplegia,aphasia,loss of self-care ability and so on.On the other hand,social support can also be used to improve patients'alexithymia so as to reduce complications,improve clinical outcomes and their quality of life.
作者
蒋秋焕
张红梅
王梦
陈近近
侯献敏
康腾腾
Jiang Qiuhuan;Zhang Hongmei;Wang Meng;Chen Jinjin;Hou Xianmin;Kang Tengteng(Nursing Department,Zhengzhou University People's Hospital,Henan Provincial People's Hospital,School of Clinical Medicine of Henan University,Zhengzhou 450003,China;School of Nursing,Sanquan Medical College,Xinxiang Medical University,Xinxiang 453000,China;Nursing and Health School,Henan University,Kaifeng 475004,China;Wound Repair Ward,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450003,China)
出处
《中华现代护理杂志》
2020年第21期2899-2903,共5页
Chinese Journal of Modern Nursing
基金
河南省科技公关项目(172102310038)。
关键词
老年人
卒中
述情障碍
影响因素
Aged
Stroke
Affective symptoms
Influencing factors
