老年脑梗死康复治疗患者角色强化对创伤后成长的影响

Effect of role reinforcement on post traumatic growth in elder patients with cerebral infarction accepting the treatment of rehabilitation

目的 调查老年脑梗死康复治疗创伤后成长和角色强化现状,并探讨角色强化对创伤后成长的影响.方法 采用创伤后成长评定量表和角色强化量表对303例脑梗死康复治疗患者进行问卷调查.结果 患者创伤后成长和角色强化评分分别为（61.50±7.19）分和（63.51±9.28）分.创伤后成长各维度评分与角色强化各维度评分均呈负相关（r=-0.794^-0.123,P〈0.05或0.01）.分层逐步回归分析结果显示,文化程度、年龄、角色强化各维度为患者创伤后成长的影响因素（P〈0.05）.结论 脑梗死康复治疗创伤后成长处于中等水平,角色强化处于很高水平,角色强化为其创伤后成长的影响因素.

Objective To investigate the status of post traumatic growth and role reinforcement in elder patients with cerebral infarction accepting the treatment of rehabilitation, and to explore the effect of role reinforcement on post traumatic growth. Methods Totally 303 patients with cerebral infarction accepting the treatment of rehabilitation were investigated by the Post Traumatic Growth Rating Scale and the Role Reinforcement Scale. Results The post traumatic growth and role reinforcement scores of the patients were （61.50 ± 7.19）, （63.51 ± 9.28） points. The scores of each dimension of post traumatic growth were significantly positively correlated with the role reinforcement （r =-0.794--0.123, P 〈 0.05 or 0.01）. Stepwise regression analysis showed that the influence factors on the post traumatic growth of the patients were the cultural level, age and each dimension of role reinforcement （P 〈 0.05）. Conclusions For the patients with cerebral infarction accepting the treatment of rehabilitation, the level of post traumatic growth is in a moderate level, and the role reinforcement is in a strong level, and role reinforcement is the influencing factor of post traumatic growth.