摘要
目的了解首发中青年脑卒中患者家属心理弹性及其影响因素,为提高其心理健康水平提供依据。方法对216名首发中青年脑卒中患者家属采用心理弹性量表、领悟社会支持量表、简易应对方式量表进行调查分析。结果本组患者家属心理弹性量表总分(52.16±8.97)分,领悟社会支持量表的家庭内支持维度分为(16.92±4.12)分,家庭外支持维度分为(37.62±6.93)分,简易应对方式量表的消极应对维度分为(1.67±0.34)分,积极应对维度分为(2.01±0.48)分。患者家属心理弹性量表总分及坚韧、自强、乐观维度分与领悟社会支持量表的家庭内支持、家庭外支持维度分及简易应对方式量表的积极应对维度分呈显著正相关(P<0.01),与消极应对维度分呈显著负相关(P<0.05或0.01)。多元回归分析显示,年龄、文化程度、有无子女、患者治疗方式、家庭内支持、家庭外支持、积极应对是首发中青年脑卒中患者家属心理弹性的主要影响因素(P<0.05或0.01),可解释因变量的76.9%。结论首发中青年脑卒中患者家属心理弹性处于中等水平,其影响因素众多,应对其予以有针对性的干预提高其心理健康水平。
Objective To understand the psychological resilience and its influencing factors of the family members of first-ever young and middle-aged stroke patients,and provide a theoretical basis for improving the mental health of the family members of the patients.Methods A total of 216 family members of first-ever young and middle-aged stroke patients were investigated and analyzed using the Connor Davidson resilience scale(CD-RISC),perceived social support scale(PSSS)and simplified coping style questionnaire(SCSQ).Results The total score of RISC was(52.16±8.97)points,the score of intra-family support in PSSS was(16.92±4.12)points,and the score of out-of-family support was(37.62±6.93)points.The negative coping dimension score in SCSQ was(1.67±0.34)points,and the positive coping dimension score was(2.01±0.48)points.The total score of CD-RISC and the scores of resilience,self-improvement and optimism of the patients'family members were significantly positively correlated with the scores of in-family support,out-family support of PSSS and positive coping score of SCSQ(P<0.01),and negatively correlated with the negative coping score of SCSQ(P<0.01).Multiple regression analysis showed that age,education level,presence or absence of children,patient treatment method,intra-family support,out-of-family support,and active coping are the main influencing factors of the mental resilience of the family members of the first-ever young and middle-aged stroke patients(P<0.05 or 0.01),which can explain 76.9%of the dependent variables.Conclusions The mental resilience of the family members of the first-ever young and middle-aged stroke patients is at a moderate level,and there are many influencing factors.Targeted intervention should be given to improve their mental health.
作者
韩旭
朱冉君
臧舒婷
赵贵林
邱惠
王龙安
孟焱
Han Xu;Zhu Ranjun;Zang Shuting;Zhao Guilin;Qiu Hui;Wang Longan;Meng Yan(First author's address Henan Provincial People's Hospital,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2021年第4期89-93,共5页
Journal of Clinical Psychosomatic Diseases
基金
河南省重点科技攻关项目(编号112102310234)。
关键词
脑卒中
家属
心理弹性
社会支持
应对方式
stroke
family member
psychological resilience
social support
coping style
