首发脑梗死患者的创伤后成长现状分析及其影响因素
Analysis of post-traumatic growth in patients with first-episode cerebral infarction and its influencing factors
梅俊 1陈长芳 1刘莉 1韩艳 1何斌2
作者信息
- 1. 江苏省人民医院 南京医科大学第一附属医院神经内科,江苏南京 210003
- 2. 江苏省人民医院 南京医科大学第一附属医院急诊科,江苏南京 210003
- 折叠
摘要
目的 探讨首发脑梗死患者的创伤后成长(PTG)情况及其影响因素.方法 选取2018年1月至2019年12月于江苏省人民医院就诊的 138例首发脑梗死患者,进行创伤后成长评定量表(PTGI)、领悟社会支持量表(PSSS)、Connor-Davidson心理弹性量表(CD-RISC)测评.根据PTGI测评结果将PTG患者纳入PTG组(90 例)和非PTG患者纳入非PTG组(48例).比较两组患者一般资料、疾病相关情况、PSSS评分、CD-RISC评分.采用logistic回归分析确定PTG的影响因素.结果 两组学历、家庭经济情况、病程、后遗症及PSSS评分、CD-RISC评分比较,差异有统计学意义(P＜0.05).多因素logistic回归分析结果显示,学历(OR=1.411,95%CI:1.064～1.871)、病程(OR= 1.295,95%CI:1.040～1.613)、PSSS评分(OR=1.969,95%CI:1.192～3.252)、CD-RISC评分(OR=2.117,95%CI:1.288～3.480)是PTG的影响因素(P＜0.05).结论 通过有效干预PTG的影响因素,有望提高首发脑梗死患者社会支持及心理弹性,从而促进PTG.
Abstract
Objective To investigate the post-traumatic growth(PTG)in patients with first-episode cerebral infarction and its influencing factors.Methods A total of 138 patients with first-stage cerebral infarction in Jiangsu Province Hospital from January 2018 to December 2019 were selected and evaluated by post-traumatic growth inventory(PTGI),perceptive social support scale(PSSS),and Connor-Davidson resilience scale(CD-RISC).According to the results of PTGI,patients with PTG were included in PTG group(90 cases),patients without PTG were included in non-PTG group(48 cases).The general information,disease-related information,PSSS score,and CD-RISC score in two groups were compared.Logistic regression analysis was used to determine the influencing factors of PTG.Results There were significant differences in education background,family economic status,course of disease,sequelae,PSSS score,and CD-RISC score between PTG group and non-PTG group(P＜0.05).Multivariate logistic regression analysis results showed that educational background(OR=1.411,95%CI:1.064-1.871),disease duration(OR =1.295,95%CI:1.040-1.613),PSSS score(OR =1.969,95%CI:1.192-3.252),and CD-RISC score(OR=2.117,95%CI:1.288-3.480)were influencing factors of PTG(P＜0.05).Conclusion Effective intervention according to the influencing factors of PTG is expected to improve the social support and mental resilience of patients with first-stage cerebral infarction,and promote PTG.
关键词
首发脑梗死/创伤后成长/社会支持/心理弹性/情感体验/影响因素Key words
First cerebral infarction/Post-traumatic growth/Social support/Mental resilience/Emotional experience/Influencing factor引用本文复制引用
基金项目
江苏省卫生健康委科研项目(H2019108)
出版年
2024
NETL
NSTL
万方数据