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中青年脑卒中患者病耻感水平及影响因素

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目的 探讨中青年脑卒中患者病耻感水平及影响因素,为改善患者身心健康状况提供科学依据。方法 选取2022年1~12月期间本院接受治疗的中青年(18~59岁)脑卒中患者为研究对象。采用一般资料调查问卷、脑卒中病耻感量表、心理弹性量表简化版、领悟社会支持量表对患者进行评估。通过单因素及多重线性回归分析,探讨影响中青年脑卒中患者病耻感的相关因素。结果 中青年脑卒中患者病耻感得分平均为44。92±11。68分。多重线性回归分析表明,家庭收入(β'=-0。285)、文化程度(β'=-0。149)、日常生活能力(中度依赖:β'=0。182,重度依赖:β'=0。306)、社会支持水平(中等水平:β'=-0。187,高水平:β'=-0。293)、心理弹性(β'=-0。271)与中青年脑卒中患者病耻感显著相关(P<0。05)。结论 中青年脑卒中患者普遍存在不同程度病耻感,主要与家庭收入、文化程度、日常生活能力、心理弹性及社会支持水平等因素有关。
Objective To explore the level of stigma and its influencing factors among young and middle-aged stroke patients,in order to provide a scientific basis for improving their physical and mental health status.Methods Young and middle-aged(aged 18~59)stroke patients treated at the First People's Hospital affiliated with westlake University from January to December 2022 were selected as the research subjects.A general information questionnaire,the Stroke Stigma Scale,the Brief Version of the Psychological Resilience Scale,and the Perceived Social Support Scale were used to assess the patients.Univariate analysis and multiple linear regression analysis were conducted to explore the factors related to the stigma of young and middle-aged stroke patients.Results The average score of stigma in young and middle-aged stroke patients was (44.92±11.68) points.Multiple linear regression analysis indicated that family income(β'=-0.285),educational level(β'=-0.149),daily living ability(moderate dependence:β'=0.182,severe dependence:β'=0.306),level of social support(moderate level:β'=-0.187,high level:β'=-0.293),and psychological resilience(β'=-0.271)were significantly correlated with the stigma of young and middle-aged stroke patients(P<0.05).Conclusion The young and middle-aged stroke patients generally have varying degrees of stigma,which is mainly related to factors such as family income,educational level,daily living ability,psychological resilience,and level of social support.

Young people and middle-agedStrokeStigmaInfluencing factors

吴敏、邵明君

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310006 西湖大学医学院附属杭州市第一人民医院

中青年 脑卒中 病耻感 影响因素

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(11)