| 景颖颖,唐丽春,任真.急性脑梗死患者生存质量及影响因素分析[J].上海护理,2022,22(S1): |
| 急性脑梗死患者生存质量及影响因素分析 |
| The quality of life in cerebral infarction patients and the related factors |
| DOI： |
| 中文关键词: 脑梗死 生存质量 心理弹性 |
| 英文关键词:Cerebral infarction Quality of life Psychological resilience |
| 基金项目:同济大学附属杨浦医院科研基金项目（Se1201924） |
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| 中文摘要: |
| 目的 探讨急性脑梗死患者生存质量及其影响因素，为提高患者生存质量提供理论依据。方法 采用一般资料调查表、心理弹性量表、脑卒中专门化生存质量量表对294例急性脑梗死患者进行问卷调查。结果 急性脑梗死患者生存质量总分为（182.36±29.08）分，处于中等水平。患者心理弹性得分为（59.16±9.41）分，低于国内常模。患者生存质量总分、各维度得分与心理弹性均呈正相关（均P<0.05）。Logistic回归分析显示，文化程度、日常生活能力、脑卒中次数、心理弹性是患者生存质量独立影响因素（P<0.05），共解释总变异的54.0%。结论 急性脑梗死患者生存质量的主要影响因素是文化程度、生活自理能力、脑卒中次数、心理弹性，应根据生存质量影响因素制订个性化的干预措施，实施有针对性的心理疏导和健康宣教，发挥心理弹性对疾病的缓冲作用，提高患者心理弹性和生存质量水平。 |
| 英文摘要: |
| Objective To explore the quality of life in cerebral infarction patients and its influencing factors to provide theoretical basis for improving the quality of life of patients. Methods The general infromation questionnaire, The Connor-Davidson Resilience Scale and Stroke Specific Quality of Life Scale were used to investigate the quality of life and the related factors among 294 cases of patients with cerebral infarction. Results The quality of life for patients with cerebral infarction was(182.36±29.08)minutes, at a moderate level.The total scoreof the CD-RISC psychological resilience was(59.16±9.41)minutes, it is lower than the domestic norm. The total score of quality of life and the score of each dimension were positively correlated with resilience (all P<0.05). Logistic regression analysis showed, education level, self-care ability, number of stroke, psychological resilience were independent influencing factors of the quality of life in cerebral infarction patients (P<0.05), explaining 54.0% of the total variation. Conclusion The main factors influencing the quality of life in cerebral infarction patients are education level, self-care ability, number of stroke, psychological resilience, according to the quality of life factors affecting the development of personalized intervention measures. The implementation of targeted psychological counseling and health education, psychological resilience of play buffer disease, improve patient the psychological resilience and the quality of life. |
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