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脑梗死恢复期患者心理控制源与自我感受负担水平的相关性分析

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目的:分析脑梗死(CI)恢复期患者心理控制源与自我感受负担水平的相关性.方法:选取2019年5月-2020年5月舞钢市人民医院收治的60例CI恢复期患者作为研究对象,均经规范化治疗.于治疗1周、1个月、3个月后,评估患者心理控制源[多维度健康状况心理控制源量表(MHLC)]和自我感受负担水平[自我感受负担量表(SPBS)]情况.比较不同时点患者MHLC评分和SPBS评分,分析CI恢复期患者心理控制源与自我感受负担水平的相关性,并分析心理控制源对CI恢复期患者自我感受负担的影响.结果:初中及以下患者SPBS评分高于初中以上患者,差异有统计学意义(P<0.05);与治疗1周后相比,患者治疗1个月、3个月后内控型评分逐渐升高,他控型、机遇控型评分逐渐降低,差异有统计学意义(P<0.05);与治疗1周后相比,患者治疗1个月、3个月后SPBS中身体负担、情感负担、经济负担评分及SPBS总分均逐渐降低,差异有统计学意义(P<0.05);经双变量Pearson直线相关性显示,CI恢复期患者治疗1周后MHLC中内控型评分与SPBS各维度评分、总分呈负相关,差异有统计学意义(r<0,P<0.05),MHLC中他控型、机遇控型评分与SPBS各维度评分、总分呈正相关,差异有统计学意义(r>0,P<0.05).多元线性回归分析结果显示,内控型、他控型、机遇控型心理控制源均是CI恢复期患者自我感受负担的影响因素.结论:CI恢复期患者内控型评分与SPBS评分呈负相关,他控型、机遇控型评分与SPBS评分呈正相关,且患者自我感受负担水平受心理控制源的影响.
Corrlation Analysis of Source of Psychological Control and Self-perceived Burden in Convalescent Patients with Cerebral Infarction
Objective:To analyze the correlation between the source of psychological control and self-perceived burden in patients with cerebral infarction(CI)during the recovery period.Methods:From May 2019 to May 2020,60 patients with CI in the convalescent stage were selected from Wugang People's Hospital and received standardized treatment.The locus of control(MHLC)and self-perceived burden(SPBS)were evaluated 1 week,1 month and 3 months after treatment.The MHLC score and SPBS score of patients at different time points were compared,and the correlation between psychological control source and self-perceived burden of patients in CI recovery period was analyzed.The influence of psychological control source on self-perceived burden of patients in CI recovery period was analyzed.Results:The SPBS score of patients at junior high school and below was higher than that of patients above junior high school(P<0.05).Compared with one week of treatment,the scores of internal control gradually increased,and the scores of other control,opportunity control,SPBS dimensions and total score gradually decreased after 1 month and 3 months of treatment(P<0.05).Bivariate Pearson linear correlation showed that the score of internal control in MHLC was negatively correlated with the score of each dimension and total score of SPBS in patients with CI recovery at 1 week after treatment(r<0,P<0.05).The scores of other-controlled and opportunity-controlled in MHLC were positively correlated with the scores of each dimension and total score of SPBS(r>0,P<0.05).Multiple linear regression analysis showed that internal control,other control and opportunity control were the influencing factors of self-perceived burden in patients with CI recovery.Conclusion:The score of internal control is negatively correlated with the score of SPBS,while the score of other control and opportunity control are positively correlated with the score of SPBS.The self-perceived burden of patients is affected by the source of psychological control.

Cerebral infarctionRecovery periodSource of psychological controlSelf-perceived burden

张曼

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舞钢市人民医院神经内科,河南 舞钢 462500

脑梗死 恢复期 心理控制源 自我感受负担

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(10)
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