脑梗死康复期患者自尊及领悟社会支持的调查研究

The clinical investigation on self-esteem and perceived social support in rehabilitation period patients with cerebral infarction

目的观察脑梗死康复期患者自尊及领悟社会支持的情况,探讨其评分及临床意义,旨在为临床工作提供理论支持。方法随机选取990例脑梗死康复期患者作为观察组,随机选取500例体检证实为正常的成年人作为对照组,应用自尊量表、领悟社会支持量表评价观察对象的情况,比较不同临床特征患者评分的情况,并进行相关性分析。结果观察组自尊及领悟社会支持的评分明显低于对照组,自尊及领悟社会支持的评分与性别、梗死范围、病程、学历及有无配偶密切相关。相关分析显示观察组患者自尊及领悟社会支持评分之间呈正相关。结论脑梗死康复期患者存在着自尊感低下、领悟社会支持的能力差,而且与临床特征相关,临床中应积极开展此方面的治疗及干预,可能对改善患者的心理情绪有重要意义。

Objective To investigate the scores of self-esteem and perceived social support in rehabilitation period patients with cerebral infarction, study the different of clinical characteristic for directing clinical work. Methods All of 990 rehabilitation period patients of cerebral infarction were collected as the observation group, 500 normal adults were collected as the control group. We analyzed the self-esteem score by self-esteem scale, the perceived social support score by SDS Questionnaires in the two groups. Results The scores were analyzed in the observation group. The scores of self-esteem and perceived social support were lower in the observation group than in two control groups. The scores were obviously significant in sex, infarct size, course, educational background and spouse. The scores were positive correlation between selfesteem and perceived social support in the observation group. Conclusion The lower socres of self-esteem and perceived social support are found in rehabilitation period patients with cerebral infarction. The essential intervention should be carried out in clincial work.