缺血性脑卒中患者残疾接受度及相关因素

Acceptance of disability and related factors in patients with ischemic stroke

目的:探讨缺血性脑卒中患者残疾接受度及其相关因素,以期为缺血性脑卒中致残患者的康复心理干预提供理论依据。方法:对180例缺血性脑卒中住院治疗的患者,用残疾接受度量表(修订版)(ADS-R)、医疗社会支持量表(M OS-SSS)、Herth希望水平量表(HHI)和9条目病人健康问卷抑郁量表(PHQ-9)进行测评。结果:缺血性脑卒中患者的ADS-R得分为(88.2±14.3)。多元逐步回归分析显示宗教信仰、受教育程度、M OS-SSS得分、HHI得分与ADS-R得分正向关联(b'=0.33、0.21、0.30、0.15);医保方式、残疾程度、PHQ-9得分与ADS-R得分负相关联(b'=-0.16、-1.53、-0.43)。结论:缺血性脑卒中患者残疾接受度处于较低水平,并与宗教信仰、受教育程度、医保方式、残疾程度(M RS)、医疗社会支持、希望水平和抑郁相关。

Objective： To investigate the acceptance of disability for ischemic stroke patients and its related factors,in order to provide a theoretical basis on rehabilitation intervention in ischemic stroke patients with mental disability. Methods： A total of 180 patients with ischemic stroke were recruited. The Adaptation of Disability Scale- Revised （ ADS-R） ,Medical Outcomes Study Social Support Survey （ MOS-SSS） ,Herth Hope Inder （ HHI） and Patient Health Questionnaire-9 （ PHQ-9） were used to evaluate the patients. Results： The mean score of acceptance of disability was （ 88. 2 ± 14. 3） in ischemic patients. Multiple stepwise regressions indicated that the religion,education,MOS-SSS scores and HHI scores were positively associated with ADS-R scores（ b＇= 0. 33,0. 21,0. 30,0. 15） . The medical insurance,disability（ MRS） and PHQ-9 scores were negatively associated with ADS-R scores（ b＇ = - 0. 16, - 1. 53, - 0. 43） . Conclusion： The acceptance of disability in patients with ischemic stroke may be at a lowlevel. The religion,education,medical insurance,disability,social support,hope level and depression may be related to the adaptation of disability.