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脑卒中患者症状负担、日常感知歧视现状及其影响因素

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目的 分析脑卒中患者症状负担、日常感知歧视现状及其影响因素。方法 选取2018年1月-2023年7月四川大学华西医院收治的506例脑卒中患者作为研究对象,应用一般资料问卷、脑卒中知识问卷、家庭关怀指数量表、社会支持评定量表、脑卒中症状体验量表及日常感知歧视量表对其进行调查,并采用多元逐步回归分析法探讨影响脑卒中患者症状负担、日常感知歧视的相关因素。结果 患者症状负担总分为(40。62±5。14)分;多元逐步回归分析显示,患者年龄、文化程度、需长期用药、家庭关怀程度和社会支持水平是脑卒中患者症状负担的主要影响因素(P<0。05)。脑卒中患者日常感知歧视总分为(29。18±3。65)分;多元逐步回归分析显示,患者年龄、脑卒中知识水平、家庭关怀程度和社会支持水平是脑卒中患者日常感知歧视的主要影响因素(P<0。05)。结论 脑卒中患者症状负担、日常感知歧视均处于中等偏上水平,高龄、文化程度低、需长期用药、家庭关怀度差、社会支持水平差是影响前者的主要危险因素,而高龄、脑卒中知识水平高、家庭关怀程度好、社会支持水平满意是后者的保护因素,应给予个性化干预措施减轻患者身心负担。
Current Status and Influencing Factors of Symptom Burden and Daily Perceived Discrimination in Patients with Stroke
Objective To analyze the current status and influencing factors of symptom burden and daily perceived discrimination in patients with stroke.Methods 506 patients with stroke admitted to West China Hospital,Sichuan University from January 2018 to July 2023 were selected as research subjects.General data questionnaire,stroke knowledge questionnaire,family care index scale,social support rating scale,stroke symptom experience scale and daily perceived discrimination scale were used to investigate the patients,and multivariate stepwise regression analy-sis was used to explore the related factors affecting symptom burden and daily perceived discrimination in patients with stroke.Results The total score of symptom burden was(40.62±5.14)points.Multivariate stepwise regression analysis showed that age,education level,long-term medication need,family care degree and social support level were the main influencing factors of symptom burden in patients with stroke(P<0.05).The total score of daily perceived discrimination in patients with stroke was(29.18±3.65)points.Multivariate stepwise regression analysis revealed that age,stroke knowledge level,family care degree and social support level were the main influencing factors of daily perceived discrimination in patients with stroke(P<0.05).Conclusion The symptom burden and daily perceived discrimination in patients with stroke are above the medium level.Advanced age,low education level,long-term medi-cation need,poor family care degree and poor social support level are the main risk factors affecting the former,while advanced age,high stroke knowledge level,good family care degree and satisfactory social support level are the pro-tective factors of the latter,and it is necessary to perform individualized intervention measures to relieve the physical and mental burden of patients.

StrokeNegative emotionsMental healthSymptom burdenDaily perceived discriminationInfluencing factors

罗曦、唐姗姗

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四川大学华西医院神经内科/四川大学华西护理学院,四川 成都,610041

脑卒中 负性情绪 心理健康 症状负担 日常感知歧视 影响因素

四川省保健委员会科研课题项目

川干研2021-109

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(2)
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