缺血性脑血管病患者应对方式及影响因素的研究

Study on coping style and its influencing factors in patients with ischemic cerebrovascular disease

目的探讨缺血性脑血管病患者的应对方式及影响因素,为制订护理干预措施提供依据。方法采用一般资料调查表、医学应对方式问卷,于2015年9月—2016年4月对收治于同济大学附属杨浦医院神经内科的357例缺血性脑血管病患者进行问卷调查。结果缺血性脑血管病患者的面对维度得分为(18.45±3.30)分,低于国内常模(P<0.01);回避维度和屈服维度分别为(15.01±3.16)分、(9.65±3.57)分,均高于常模(P<0.01)。缺血性脑血管病患者应对方式与其性别、年龄、文化程度、婚姻状况、居住类型有关。结论临床护理人员应正确评估缺血性脑血管病患者的应对方式,并给予相应的心理干预和健康教育,引导患者多采用积极的应对方式,以促进其身心健康。

Objective To investigate the coping style and its influencing factors in the patients with ischemic cerebrovascular disease, and to provide a basis for the development of nursing intervention measures. Methods Using general information questionnaire and medical coping style questionnaire, 357 patients with ischemie cerebrovascular disease in Yangpu Hospital, Tongji University, Shanghai were investigated from September 2015 to April 2016. Results The total score for the face dimension of the patients was 18.45 ± 3.30, lower than the national norm （P 〈 0.01 ）. The avoidance dimension and the yield dimension were 15.01 ± 3.16 and 9.65 ±3.57, higher than the national norm （P 〈 0.01 ）. The coping style of the patients with ischemic cerebrovascular disease was associated with gender, age, education background, marriage statue, and accommodation type. Conclusion Clinical nursing staff should correctly evaluate the coping style of the patients with isehemic cerebrovascular disease, give the corresponding psychological intervention and health education, guide them to adopt the positive coping style, and promote their physical and mental health.