摘要
目的了解康复期脑卒中患者心理灵活性现状,分析其影响因素,为针对性干预提供参考。方法便利选取在医院康复医学科住院的156例康复期脑卒中患者,采用一般资料调查表、接纳与行动问卷(测评心理灵活性)、认知融合问卷、脑卒中康复动机量表、脑卒中患者病耻感量表进行调查,分析影响因素。结果患者心理灵活性总分为(27.78±12.01)分;多元线性回归分析结果显示,主要照顾者、认知融合、康复动机以及病耻感程度是康复期脑卒中患者心理灵活性的主要影响因素(均P<0.05),可解释心理灵活性总变异的56.5%。结论康复期脑卒中患者心理灵活性较低,医护人员应针对影响因素实施个体化干预,提高其心理灵活性,从而促进患者身心康复。
Objective To investigate the level and factors associated with psychological flexibility among convalescent stroke patients,and to provide reference for targeted interventions.Methods A total of 156 stroke patients during the convalescent phase were selected from a rehabilitation medical department and surveyed using a self-designed demographic questionnaire,the Acceptance and Action Questionnaire-Ⅱ(to measure psychological flexibility),the Cognitive Fusion Questionnaire,the Stroke Rehabilitation Motivation Scale,and the Stroke Stigma Scale.Results The sample scored(27.78±12.01)for psychological flexibility.Multiple linear regression analysis showed that main caregivers,cognitive fusion,rehabilitation motivation,and stigma were factors influencing psychological flexibility(all P<0.05),which could explain 56.5%of the total variance.Conclusion The psychological flexibility of convalescent stroke patients is relatively low.Personalized interventions should be implemented based on the influencing factors to improve stroke patients′psychological flexibility,thus to facilitate their physical and mental recovery.
作者
田玲玲
谌秘
邹田子
邵秀芹
范玲
Tian Lingling;Shen Mi;Zou Tianzi;Shao Xiuqin;Fan Ling(Rehabilitation Medicine Department,The First Affiliated Hospital of Nanchang University,Nanchang 330006,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第3期18-22,共5页
Journal of Nursing Science
基金
江西省教育厅科学技术研究项目(170139)
江西省中医药管理局科技计划课题(2021A089)。
关键词
脑卒中
康复期
心理灵活性
认知融合
康复动机
病耻感
影响因素
神经内科护理
stroke
convalescent phase
psychological flexibility
cognitive fusion
rehabilitation motivation
stigma
influencing factor
neurological nursing
