首页|卒中恢复期患者陪护人员不良心理现状及影响因素分析

卒中恢复期患者陪护人员不良心理现状及影响因素分析

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目的:调查卒中恢复期患者陪护人员的不良心理现状并分析其影响因素.方法:选取 2021 年 6-10 月临汾市中心医院诊治的 135 例卒中恢复期患者的陪护人员为研究对象进行回顾性分析,将出现焦虑、抑郁者归为不良心理组,其余归为心理正常组.比较两组陪护人员一般资料及患者情况,采用Logistic回归分析卒中恢复期患者陪护人员出现不良心理的影响因素.结果:135 名陪护人员焦虑自评量表(SAS)评分为(50.12±8.44)分,抑郁自评量表(SDS)评分为(55.35±7.45)分,存在焦虑、抑郁至少 1 项的有 76 名,占56.30%.不良心理组中女性、在职、家庭收入较低、无陪护经历、辅助陪护人员少、患有慢性疾病、每日陪护时间较长,以及患者依赖程度、吞咽障碍及神经功能缺损程度为重度占比均高于心理正常组,差异有统计学意义(P<0.05).陪护人员为女性、在职、家庭收入较低、无陪护经历、辅助陪护人员少、患有慢性病、每日陪护时间较长及患者伴有重度依赖、重度吞咽障碍、重度神经功能缺损均为导致卒中患者陪护人员出现不良心理的危险因素(OR>1,P<0.05).结论:卒中患者陪护人员不良心理发生率较高.陪护人员为女性、在职、家庭收入较低、无陪护经历、辅助陪护人员少、患有慢性病、每日陪护时间较长及患者伴有重度依赖、重度吞咽障碍、重度神经功能缺损均为导致卒中患者陪护人员出现不良心理的危险因素.
Analysis of adverse psychological status and influencing factors of accompanying staff of patients with stroke in convalescent period
Objective:To investigate adverse psychological status and influencing factors of accompanying staffof patients with stroke in convalescent period.Methods:From June to October 2021,the accompanying staffof 135 patients with stroke in convalescent period in Linfen Central Hospital were selected as the research objects for retrospective analysis.Those with anxiety and depression were classified as the adverse psychological group,and the rest were classified as the normal psychological group.The general information of the accompanying staff and the conditions of the patients of the two groups were compared.Logistic regression was used to analyze the influencing factors of adverse psychology in the accompanying staffof the patients with stroke in convalescent period.Results:The SAS score of the 135 accompanying staffwas(50.12±8.44)points,and the SDS score was(55.35±7.45)points.76 cases,accounting for 56.30%,had at least one item of anxiety and depression.The proportions of the accompanying staff as women,employed person,with lower family income,with no accompanying experience,with fewer auxiliary accompanying personnel,with chronic diseases,with longer daily accompanying time,and the patients with a higher degree of dependence,severe swallowing disorders,and severe neurological deficits in the adverse psychological group was higher than those in the normal psychological group,and the differences were statistically significant(P<0.05).The accompanying staffas women,employed person,with lower family income,with no accompanying experience,with fewer auxiliary accompanying personnel,with chronic diseases,with longer daily accompanying time,and the patients with a higher degree of dependence,severe swallowing disorders,and severe neurological deficits are the influencing factors of adverse psychological status of the accompanying staffof the patients with stroke in convalescent period(OR>1,P<0.05).Conclusions:The accompanying staff as women,employed person,with lower family income,with no accompanying experience,with fewer auxiliary accompanying personnel,with chronic diseases,with longer daily accompanying time,and the patients with a higher degree of dependence,severe swallowing disorders,and severe neurological deficits are the influencing factors of adverse psychological status of the accompanying staffof the patients with stroke in convalescent period.The medical staffshould pay attention to the psychological care of the accompanying staffto alleviate their negative emotions,so as to promote the rapid recovery of the stroke patients.

StrokeConvalescent periodAccompanying staffAdverse psychologyAnxietyDepressionInfluencing factor

程华、朱瑜、张智霞、段冬仙、洪珍兰

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临汾市中心医院康复医学科,山西 临汾 041000

山西省针灸医院护理部,山西 太原 030006

卒中 恢复期 陪护人员 不良心理 焦虑 抑郁 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(13)