摘要
目的:分析缺血性卒中介入治疗患者心理弹性现状及其影响因素。方法:选取2021年3月至2023年3月于该院接受介入治疗的262例缺血性卒中患者进行横断面研究,采用心理弹性量表简化版(CD-RISC)评估患者心理弹性评分,比较不同心理弹性评分患者基线资料、家庭关怀度和疾病不确定感,分析缺血性卒中介入治疗患者心理弹性差的影响因素。结果:262例缺血性卒中介入治疗患者CD-RISC评分平均(27.91±8.13)分,其中161例患者CD-RISC评分≤30分,占61.45%(161/262),101例患者CD-RISC评分>30分,占38.55%(101/262);不同心理弹性患者年龄、性别、婚姻状况、工作状态、医疗费用支付方式、首次置入支架、麻醉方式比较,差异均无统计学意义(P>0.05);不同心理弹性患者文化程度、家庭人均月收入、自理、留置尿管、家庭关怀度、疾病不确定感比较,差异均有统计学意义(P<0.05);Logistic回归分析结果显示,家庭人均月收入<3000元、不能自理、家庭关怀度低、疾病不确定感高均为缺血性卒中介入治疗患者心理弹性差的危险因素(P<0.05)。结论:家庭人均月收入<3000元、不能自理、家庭关怀度低、疾病不确定感高均为缺血性卒中介入治疗患者心理弹性差的危险因素。
Objective:To analyze status of psychological resilience and its influencing factors in patients with ischemic stroke undergoing interventional therapy.Methods:A cross-sectional study was conducted on 262 patients with ischemic stroke who underwent interventional therapy in this hospital from March 2021 to March 2023.The Connor-Davidson resilience scale(CD-RISC)was used to evaluate the patients’psychological resilience scores.The baseline data,the family care degree and the disease uncertainty of the patients with different psychological resilience scores were compared.The influencing factors of poor psychological resilience in the patients with ischemic stroke interventional therapy were analyzed.Results:The average CD-RISC score of the 262 patients with ischemic stroke was(27.91±8.13)points.Among them,161 patients had a CD-RISC score of≤30 points,accounting for 61.45%(161/262),and 101 patients had a CD-RISC score of>30 points,accounting for 38.55%(101/262).There were no significant differences in age,gender,marital status,working status,payment method of medical expenses,first stent placement and anesthesia method among the patients with different psychological resilience(P>0.05).There were statistically significant differences in education level,family monthly income per capita,self-care,indwelling catheter,family care degree and disease uncertainty among the patients with different psychological resilience(P<0.05).Logistic regression analysis showed that family monthly income per capita<3000 yuan,inability to take care of themselves,low family care degree,and high disease uncertainty were all risk factors for poor psychological resilience in the patients with ischemic stroke(P<0.05).Conclusions:Family monthly income per capita<3000 yuan,inability to take care of themselves,low family care degree,and high disease uncertainty are the risk factors for poor psychological resilience in the patients with ischemic stroke undergoing interventional therapy.
作者
刘艳芹
LIU Yanqin(Henan Integrative Medicine Hospital,Affiliated Hospital of Henan Academy of Chinese Medicine,Zhengzhou 450000 Henan,China)
出处
《中国民康医学》
2024年第3期22-25,共4页
Medical Journal of Chinese People’s Health
关键词
缺血性卒中
介入治疗
心理弹性
影响因素
Ischemic stroke
Interventional therapy
Psychological resilience
Influencing factor
