首页|南阳地区独居中老年主动脉夹层患者社会疏离水平及影响因素

南阳地区独居中老年主动脉夹层患者社会疏离水平及影响因素

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目的:探讨南阳地区独居中老年主动脉夹层患者社会疏离现状及其影响因素.方a:以便利抽样法选取2021年1月—2022年6月南阳市中心医院接受腔内修复术治疗的126例主动脉夹层患者作为研究对象.采用一般资料调查表、一般疏离感量表、社会影响量表、社会支持评定量表进行调查.结果:独居中老年主动脉夹层术后患者社会疏离感总分为(47.46±4.72)分,处于中等偏高水平;病耻感总分为(65.48±12.12)分,处于较高水平;社会支持总分为(38.02±8.78)分,处于中等偏低水平.多元回归分析结果表明,受教育程度、月收入、病耻感及社会支持是影响患者社会疏离的主要因素,可解释总变异的33.60%(OR=-2.567、7.654、10.059、-11.384,P<0.001).结论:独居中老年主动脉夹层术后患者社会疏离水平整体偏高,医护人员应重点识别受教育程度低、月收入差的患者,采取个性化措施降低患者的病耻感,并为其提供足够的社会资源及支持,以最大限度地减轻其社会疏离状态,促使患者更快更优质地融入到正常社会生活.
Social Distancing Level and Influencing Factors of Elderly Patients Living Alone with Aortic Dissection in Nanyang Area
Objective:To investigate the status and influencing factors of social alienation in elderly patients living alone with aortic dissection in Nanyang Area.Methods:126 patients with aortic dissection who received endovascular repair in the hospital from January 2021 to June 2022 were selected as subjects by convenience sampling method.General data questionnaire,General Alienation Scale,Social Impact Scale and Social Support Rating Scale were used.Results:The total score of social alienation was(47.46±4.72)in middle-aged and elderly patients living alone after aortic dissection,which was at a medium high level.The total score of stigma was(65.48±12.12),which was at a high level.The total score of social support was(38.02±8.78),which was in the middle and low level.Multiple regression analysis showed that education level,monthly income,stigma and social support were the main influencing factors of patients'social distancing,accounting for 33.60%of the total variation(OR=-2.567,7.654,10.059,-11.384;P<0.001).Conclusion:The social alienation level of middle-aged and elderly patients living alone after aortic dissection is generally high.Medical staff should focus on identifying patients with low education level and poor monthly income,take personalized measures to reduce the stigma of patients,and provide adequate social resources and support for them,so as to minimize their social alienation and promote their faster and better integration into normal social life.

Living aloneMiddle-aged and elderlyAortic dissectionSocial alienation

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南阳市中心医院血管外科,河南 南阳 473000

独居 中老年 主动脉夹层 社会疏离

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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