首发脑梗死患者创伤后成长现状及其与恐惧疾病进展、家庭功能的相关性

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国家科技期刊平台
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中文摘要：目的:创伤后成长能明显提升脑卒中患者生活质量,改善其疾病康复结局.脑卒中患者的恐惧疾病进展心理和家庭功能都可影响其躯体功能及心理健康,与其创伤后成长水平相关.本研究旨在探讨首发脑梗死患者创伤后成长现状及其与恐惧疾病进展、家庭功能间的相关性,为护理人员制订有效的积极心理护理方案提供思路.方法:选取2023年1月至7月于成都市4所三级甲等医院神经内科就诊的313例首发脑梗死患者为研究对象,应用一般资料调查表、恐惧疾病进展简化量表、家庭关怀度指数问卷、简体中文版创伤后成长评定量表进行问卷调查,分析其创伤后成长与恐惧疾病进展、家庭功能间的相关性.结果:首发脑梗死患者恐惧疾病进展得分为32.04±7.40,家庭功能得分为6.06±2.13,创伤后成长得分为52.27±11.57,均处于中等水平.创伤后成长总分与恐惧疾病进展各维度得分及其总分均呈负相关(均P<0.01),与家庭功能各维度得分及其总分均呈正相关(均P<0.01).多元线性回归分析显示:职业状况、性格、病程、合并其他慢性病数量、恐惧疾病进展和家庭功能是其创伤后成长的独立影响因素(均P<0.05).结论:首发脑梗死患者创伤后成长处于中等水平,其创伤后成长与恐惧疾病进展呈负相关,与家庭功能呈正相关.护理人员可通过降低首发脑梗死患者恐惧疾病进展心理、改善其家庭功能状况来提高其创伤后成长水平,促进其身心健康,提高其生活质量.

外文标题：Status of post-traumatic growth in patients with first-episode cerebral infarction and its correlation with fear of disease progression and family functioning

外文摘要：Objective:Post-traumatic growth can significantly enhance the quality of life for stroke patients and improve their disease rehabilitation outcomes.The fear of disease progression and family functioning can affect the physical and psychological health of stroke patients and are related to their level of post-traumatic growth.This study aims to investigate the status of post-traumatic growth among patients with first-episode cerebral infarction and its correlation with the fear of disease progression and family functioning,to provide ideas for nursing staff to develop effective positive psychological care programs.Methods:A total of 313 patients with first-episode cerebral infarction who were treated in the Department of Neurology of 4 tertiary-level hospitals in Chengdu from January 2023 to July 2023 were selected as study subjects.A general information questionnaire,a Simplified Scale of Fear of Disease Progression,a family care index questionnaire,and a Simplified Chinese Version of the Post-Traumatic Growth Assessment Scale were used for the survey.The correlations between post-traumatic growth,fear of disease progression,and family functioning were analyzed.Results:The scores for fear of disease progression among patients with first-episode cerebral infarction were 32.04±7.40,and the family functioning scores were 6.06±2.13,with the post-traumatic growth scores at 52.27±11.57,all of which were at a moderate level.The total score of post-traumatic growth was negatively correlated with all dimensions and the total score of fear of disease progression(all P<0.01),and positively correlated with all dimensions and the total score of family functioning(all P<0.01).Multivariate linear regression analysis showed that occupational status,personality,duration of illness,number of other chronic diseases,fear of disease progression,and family functioning were independent factors affecting post-traumatic growth(all P<0.05).Conclusion:The post-traumatic growth of patients with first-episode cerebral infarction is at a moderate level.Their post-traumatic growth is negatively correlated with fear of disease progression and positively correlated with family functioning.Nursing staff can improve the level of post-traumatic growth in patients with first-episode cerebral infarction by decreasing their fear of disease progression and improving their family functioning status,thereby promoting their physical and psychological health and enhancing their quality of life.

外文关键词：

cerebral infarctionpost-traumatic growthfear of disease progressionfamily functioningcorrelation research

作者：

郑佳、杨惠、杨婷、温馨、严宇璐、谢松霖、杨翔

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作者单位：

成都医学院护理学院,成都 610083

成都医学院第一附属医院神经内科,成都 610500

宜宾市第二人民医院神经内科,四川宜宾 644000

关键词：

脑梗死创伤后成长恐惧疾病进展家庭功能相关性研究

基金：

自贡市哲学社会科学重点研究基地健康人文研究中心科研项目Project for the Health Humanities Research Center of the Key Research Base of Philosophy and Social Sciences in Zigong City,

项目编号：

JKRWZ22-04JKRWZ22-04

出版年：

2024

DOI：

10.11817/j.issn.2095-6959.2024.230416

临床与病理杂志

中南大学

临床与病理杂志

CSTPCD

影响因子：0.559

ISSN：1673-2588

年,卷(期)：2024.44(2)

参考文献量27