摘要
目的 调查首发脑卒中患者反刍性沉思水平现状并分析其影响因素。方法 将213例首发脑卒中患者作为研究对象,采用一般资料调查表、简体中文版事件相关反刍性沉思问卷(C-ERRI)、情绪调节量表(ERS)、简体中文版创伤后成长量表(C-PTGI)、病人健康问卷抑郁量表(PHQ-9)对研究对象进行调查分析。结果 首发脑卒中患者的C-ERRI总分为(25.18±14.23)分,侵入性沉思维度评分为(13.20±8.06)分,目的性沉思维度评分为(11.98±7.30)分。首发脑卒中患者的C-ERRI总分在性别、年龄、家庭关系、脑卒中类型及有无合并其他慢性病方面比较,差异均有统计学意义(P<0.05或0.01);侵入性沉思维度评分在性别、年龄、居住地、家庭关系及脑卒中类型方面比较,差异均有统计学意义(P<0.05或0.01);目的性沉思维度评分在年龄、文化程度、工作状况、脑卒中类型及有无合并其他慢性病方面比较,差异均有统计学意义(P<0.05或0.01)。首发脑卒中患者C-ERRI评分均与ERS、C-PTGI、PHQ-9评分呈正相关(P<0.05或0.01)。创伤后成长水平和脑卒中后抑郁水平是首发脑卒中患者反刍性沉思的影响因素(P<0.01)。结论 首发脑卒中患者反刍性沉思处于中等水平,医务人员需针对不同特征的首发脑卒中患者采取针对性的预防及干预措施,帮助患者进行心理调适,从而促进患者康复。
Objective To investigate rumination thinking level in first-episode stroke patients and analyze of influencing factors.Methods A total of 213 first-episode stroke patients were selected as research objects,investigations and analyses conducted using general information questionnaire,Chinese version of Event-Related Rumination Inventory(C-ERRI),Emotion Regulation Scale(ERS),Chinese Posttraumatic Growth Inventory(C-PTGI),and Patient Health Questionnaire(PHQ-9).Results The total score of the C-ERRI in first-episode stroke patients was(25.18±14.23),intrusive rumination(13.2±8.06),and purposive rumination(11.98±7.30).The differences in total C-ERRI score of the first-episode stroke patients were statistically significant in gender,age,family relationship,stroke types,and with or without other chronic diseases(P<0.05 or 0.01),the differences in intrusive rumination score were statistically significant in gender,age,place of resident,family relationship and stroke types(P<0.05 or 0.01),the differences in purposive rumination score were statistically significant in age,educational level,working status,stroke types,and with or without other chronic diseases(P<0.05 or 0.01).The C-ERRI score was positively related to the ERS,C-PTGI and PHQ-9(P<0.05 or 0.01).Posttraumatic growth and post-stroke depression level were influencing factors of rumination thinking of first-episode stroke patients(P<0.01).Conclusion The rumination thinking of first-episode stroke patients is at a moderate level,targeted prevention and intervention measure should be given to them according to different characteristics to help patients adjust psychologically,and thereby promote their rehabilitation.
作者
陈玲玲
张小燕
Chen Lingling;Zhang Xiaoyan(Le Cong Community Health Service Center of Shunde District,Foshan 528315,Guangdong,China)
出处
《临床心身疾病杂志》
CAS
2024年第4期126-131,共6页
Journal of Clinical Psychosomatic Diseases
关键词
首发脑卒中
反刍性沉思
情绪调节
创伤后成长
卒中后抑郁
first-episode stroke
rumination thinking
emotion regulation
posttraumatic growth
post-stroke depression
