摘要
目的探讨急性脑梗死(ACI)患者溶栓治疗后自我管理行为对应对方式的影响。方法选取2019年2月至2020年3月于汝南县人民医院接受溶栓治疗的76例ACI患者作为研究对象。出院后1个月,采用简易应对方式问卷(SCSQ)评估所有患者的应对方式并分组,采用自我护理能力测定量表(ESCA)评估自我管理行为水平,分析ACI患者溶栓治疗后自我管理行为水平对应对方式的影响。结果76例ACI患者中,37例(48.68%)患者积极应对,39例(51.32%)患者消极应对。消极应对的患者ESCA评分低于积极应对的患者(P<0.05)。两组患者其他资料比较,差异无统计学意义(P>0.05)。logistic回归分析显示,ESCA评分低与ACI溶栓治疗后患者倾向于采取消极应对方式有关(P<0.05)。结论ACI溶栓后患者在临床治疗中采取消极应对方式的风险较高,自我管理行为水平低的患者更易采取消极的应对方式。
Objective To investigate the effect of self-management behavior on coping style in patients with acute cerebral infarction(ACI)after thrombolytic therapy.Methods A total of 76 patients with ACI who received thrombolytic therapy in Runan County People’s Hospital from February 2019 to March 2020 were selected as the research subjects.One month after discharge,the coping styles of all patients were assessed and grouped using the short coping style questionnaire(SCSQ).The level of self-management behavior was assessed using the self-care competency scale(ESCA).The effect of self-management behavior level on coping style in ACI patients after thrombolytic therapy was analyzed.Results Among the 76 ACI patients,37(48.68%)patients responded positively,and 39(51.32%)patients responded negatively.The ESCA score of the patients who responded negatively was lower than that of the patients who responded positively(P<0.05).There was no statistical difference in other data between the two groups(P>0.05).Logistic regression analysis showed that low ESCA score was associated with the tendency of patients to adopt negative coping styles after ACI thrombolysis(P<0.05).Conclusion Patients with ACI thrombolysis have a higher risk of adopting negative coping styles in clinical treatment,and patients with low self-management behaviors are more likely to adopt negative coping styles.
作者
吴晓霞
巫贝贝
郑志豪
WU Xiaoxia;WU Beibei;ZHENG Zhihao(Department of Internal Medicine,Runan County People’s Hospital,Zhumadian 463300,China)
出处
《河南医学研究》
CAS
2022年第5期866-868,共3页
Henan Medical Research
关键词
急性脑梗死
溶栓治疗
自我管理行为
应对方式
acute cerebral infarction
thrombolytic therapy
self-management behavior
coping style
