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脑卒中后偏瘫患者伤残接受度与应对方式及抑郁水平的相关性分析

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目的 研究脑卒中后偏瘫患者伤残接受度与应对方式及抑郁水平的相关性。方法 选择 2019 年 5 月至 2022年 6 月联勤保障部队第九〇四医院收治的 96 例脑卒中后偏瘫患者作为研究对象,采用残疾接受度量表(ADS-R)、医学应对量表(MCMQ)、抑郁自评量表(SDS)调查患者伤残接受度、应对方式、抑郁程度,并采用Pearson相关分析法分析三者间的相关性。结果 合并功能障碍器官个数、肢体麻木状况、年龄、职业不同的患者ADS-R评分比较差异有统计学意义(P<0。05)。96 例患者中,伤残接受度为低度的有 29 例,中度有 52 例,高度有 15 例。其中屈服应对、回避应对、SDS评分中,高度接受患者<中度接受患者<低度接受患者,差异均有统计学意义(P<0。05);面对应对评分中,高度接受患者>中度接受患者>低度接受患者,差异均有统计学意义(P<0。05)。Pearson相关性分析结果显示,ADS-R评分与屈服应对评分、回避应对评分、SDS评分呈负相关(P<0。05),与面对应对评分呈正相关(P<0。05)。SDS评分与屈服应对评分、回避应对评分呈正相关(P<0。05),与面对应对评分呈负相关(P<0。05)。结论 脑卒中后偏瘫患者ADS-R评分越高,屈服应对评分、回避应对评分、SDS评分越低,面对应对评分越高。临床上应采取相应的干预措施,在提高患者ADS-R评分的同时,改善其应对方式与抑郁程度。
Correlations between disability acceptance,coping style and depression level in hemiplegic patients after stroke
Objective To investigate the correlations between acceptance of disability,coping style and depression level in patients with hemiplegia after stroke.Methods A total of 96 patients with hemiplegia after stroke were selected from No.904 Hospital of Joint Logistic Support Force of PLA from May 2019 to June 2022.Acceptance of disability scale-revised(ADS-R),medical coping modes questionnaire(MCMQ)and self-rating depression scale(SDS)were used to investigate disability acceptance,coping style and depression degree in these patients,respectively.Pearson correlation analysis was used to analyze their correlations.Results There were significant differences in ADS-R scores among patients with different numbers of organs with dysfunction,numbness of limbs,ages,and occupations(P<0.05).There were 29 patients with low acceptance of disability,52 patients with moderate acceptance,and 15 patients with high acceptance.The scores of yielding coping,avoidance coping,and SDS in patients with high acceptance of disability were significantly lower than those in patients with low and moderate acceptance of disability(P<0.05),and the scores of yielding coping,avoidance coping,and SDS in patients with moderate acceptance of disability were significantly lower than those in patients with low acceptance(P<0.05).The patients with high acceptance of disability had significantly higher scores of face coping than those with low acceptance and moderate acceptance(P<0.05),and the patients with moderate acceptance had significantly higher scores of face coping than those with low acceptance(P<0.05).Pearson correlation analysis showed that ADS-R score was negatively correlated with yielding coping score,avoidance coping score,and SDS score(P<0.05),while ADS-R score was positively correlated with face coping score(P<0.05).Yielding coping score and avoidance coping score were positively correlated with SDS score(P<0.05),and face coping score was negatively correlated with SDS score(P<0.05).Conclusion The higher the ADS-R score of hemiplegia patients after stroke,the lower the yielding coping score,avoidance coping score and SDS score,and the higher the face coping score.Clinical intervention should be taken to increase ADS-R score and improve patients'coping style and depression degree.

Hemiplegia after strokeDisability acceptanceCoping styleDepression level

乔莉霞、赵建法、陈昊阳、朱玉叶、陈萍、陈升东

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213003 江苏 常州,联勤保障部队第九〇四医院常州医疗区神经内科

脑卒中后偏瘫 伤残接受度 应对方式 抑郁水平

联勤保障部队第九〇四医院院管课题

2D202110

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(1)
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