摘要
目的通过对浙江省台州市具有农村户籍的独居的脑卒中患者进行心理健康及疾病自我管理能力的调查,旨在为实施有针对性的干预措施提供依据。方法选取具有农村户籍的无子女或有子女但不与子女居住的脑卒中老年患者48例为空巢组,选取具有农村户籍的有子女且和子女居住的脑卒中老年患者48例为非空巢组,对两组患者的心理健康状况及疾病自我管理能力进行调查和比较。结果空巢组和非空巢组两组患者在躯体化、强迫、人际敏感、抑郁、焦虑、敌对、偏执、恐怖及精神病性等因子的得分相比,差异均有统计学意义(P<0.05);空巢组和非空巢组两组患者在疾病管理、安全用药管理、生活起居管理、饮食管理、情绪管理、康复锻炼管理、人际关系和社会功能管理及疾病自我管理总分等项目的得分差异均有统计学意义(P<0.05);空巢组和非空巢组两组患者在生活满意度及服药依从性等方面的得分差异均有统计学意义(P<0.05)。结论农村独居脑卒中老年患者的心理健康状况、生活满意度及服药依从性均较差,疾病自我管理能力不足,应引起关注。
Objective To investigate mental health and disease self-management ability of rural solitary patients with stroke in Taizhou of Zhejiang,to provide the evidence for targeted intervention. Methods Forty-eight elderly patients with stroke who had no children or had children but not living with their children were selected as empty nest group,while 48 elderly patients who had children and lived with their children with stroke were selected as non empty nest group. The mental health status and self-management ability of the two groups were investigated and compared. Results There were significant differences in scores of somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, paranoia, phobia and psychosis between the two groups of empty nest group and non empty nest group （P 〈 0.05 ）. There were significant differences in scores of in disease management, safe medication management, daily life management, diet management, emotion management, rehabilitation exercise management, interpersonal relationship and social function management , total score of disease self-management between the two groups of empty nest group and non empty nest group （P 〈 0.05 ）. There were significant differences in the scores of life satisfaction and medication compliance between the two groups of empty nest group and non empty nest group （P 〈 0.05 ）. Conclusion The mental health status, life satisfaction and medication compliance and disease self-management ability of the elderly patients with solitary stroke in rural areas are poor, they are short of self-management ability. It should draw our attention.
作者
马文华
朱向香
许胜男
MA Wen-hua;ZHU Xiang-xiang;XU Sheng-nan(Neurology department of Enze Medical Center Hospital in Taizhou, Taizhou,Zhejiang 317000, China)
出处
《中国公共卫生管理》
2018年第2期250-252,共3页
Chinese Journal of Public Health Management
基金
台州市科技计划项目(1501KY09)
关键词
农村空巢老人
脑卒中
疾病自我管理
心理健康
empty nest elderly in rural areas
stroke
self-management of disease
mental health
