中青年脑出血患者疾病感知、自我超越、心理韧性水平现状及相关性研究

Current status and correlation of disease perception,self-transcendence and resilience in young and middle-aged patients with cerebral hemorrhage

种珂 ¹师园 ¹牛媛 ¹刘利琴¹

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作者信息

1. 空军军医大学第二附属医院神经外科(西安 710038)
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摘要

目的了解中青年脑出血患者疾病感知、自我超越、心理韧性水平现状及其与短期预后的关系.方法收集2020年4月至2023年4月空军军医大学第二附属医院神经外科收治的中青年脑出血患者一般资料,并通过相关问卷调查患者疾病感知、自我超越、心理韧性水平情况,Pearson相关性分析探讨三者间相关性,多因素Logistic回归分析探讨患者短期预后的危险因素.结果共纳入142例中青年脑出血患者,其中预后不良组32例,预后良好组110例.疾病正性感知与自我超越(r=0.461)、心理韧性(r=0.449)水平均呈正相关;疾病负性感知与自我超越(r=-0.513)、心理韧性(r=-0.482)水平均呈负相关;自我超越与心理韧性水平呈正相关(r=0.558).多因素Logistic回归分析结果显示,不规则血肿形态[OR=2.065,95％CI(1.750,2.379)]、疾病负性感知评分高[OR=2.230,95％CI(1.902,2.558)]、自我超越评分低[OR=2.423,95％CI(1.954,2.892)]、心理韧性评分低[OR=2.018,95％CI(1.452,2.584)]、白介素-6水平高[OR=2.044,95％CI(1.701,2.387)]、铁蛋白水平高[OR=2.081,95％CI(1.635,2.528)]是中青年脑出血患者短期预后的危险因素(P＜0.05);疾病正性感知评分高[OR=0.728,95％CI(0.527,0.928)]则是其保护因素.结论中青年脑出血患者倾向于疾病负性感知,自我超越、心理韧性水平均较低,疾病感知、自我超越、心理韧性水平两两相关,且其与患者短期不良预后相关.

Abstract

Objective Understanding the current status of disease perception,self-transcendence,and resilience levels in young and middle-aged patients with cerebral hemorrhage and their relationship to short-term prognosis.Methods General data of young and middle-aged cerebral hemorrhage patients admitted to the Department of Neurosurgery of the Second Affiliated Hospital of the Air Force Medical University from April 2020 to April 2023,were colected and the patients'disease perception,self-transcendence,and resilience levels were evaluated relevant questionnaires.Pearson correlation analysis was analyzed to explore the correlation among the three scores and multivariate Logistic regression analysis was performed to explore the risk factors for patients'short-term prognosis.Results A total of 142 young and middle-aged patients with cerebral hemorrhage were included,including 32 cases in the poor prognosis group and 110 cases in the good prognosis group.Positive perceptions of illness were positively correlated with self-transcendence(r=0.461)and resilience(r=0.449);negative perceptions of illness were negatively correlated with self-transcendence(r=-0.513)and resilience(r=-0.482);and self-transcendence was positively correlated with resilience(r=0.558).Multivariate Logistic regression analysis showed that irregular hematoma morphology[OR=2.065,95％CI(1.750,2.379)],high disease negative perception score[OR=2.230,95％CI(1.902,2.558)],low self-transcendence score[OR=2.423,95％CI(1.954,2.892)],low resilience score[OR=2.018,95％CI(1.452,2.584)],high level interleukin-6[OR=2.044,95％CI(1.701,2.387)],high level ferritin[OR=2.081,95％CI(1.635,2.528)]were risk factors for short-term prognosis in young and middle-aged patients with cerebral hemorrhage(P＜0.05),high disease postive perception score[OR=0.728,95％CI(0.527,0.928)]was protective factor.Conclusion Young and middle-aged patients with cerebral hemorrhage tended to have negative disease perceptions and lower levels of self-transcendence and resilience.Disease perceptions,self-transcendence,and resilience levels were bivariate correlations,and they were correlated with patients'short-term prognosis.

关键词

脑出血/中青年/疾病感知/自我超越/心理韧性/相关性/预后

Key words

Cerebral hemorrhage/Young and middle-aged youth/Illness perception/Self-transcendence/Resilience/Correlation/Prognosis

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出版年

2024

医学新知

武汉大学中南医院,中国农工民主党湖北省委医药卫生工作委员会

医学新知

CSTPCD

影响因子：0.243

ISSN：1004-5511

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