首发脑卒中患者心理弹性状况与医学应对的相关性及影响因素

Correlation and Influencing Factors of Psychological Resilience and Medical Coping in First-episode Stroke Patients

目的：探讨首发脑卒中患者心理弹性的现状与医学应对的相关性及其影响因素,为制定护理措施提供科学的理论依据。方法：采用一般资料问卷、心理弹性量表、医学应对量表,对100例首发脑卒中患者进行测评。结果：本次调查患者的心理弹性总分（54.20±4.65）分,较常模低,处于中等水平,与年龄、文化程度呈显著正相关（r=0.311,P〈0.05;r=0.443,P〈0.01）;与后遗症呈显著负相关（r=-0.379,P〈0.01）,与医学应对中的面对应对、回避应对呈显著正相关（r=0.571,P〈0.01;r=0.307,P〈0.05）;与屈服应对呈显著负相关（r=-0.784,P〈0.01）,进一步回归方程分析显示,医学应对中的面对应对可以预测心理弹性。结论：医学应对中的面对应对是心理弹性的影响因素。

Objective：To explore the current situation of mental resilience of patients with initial stroke and its relevance and its influencing factors,to provide scientific theoretical basis for the development of nursing measures.Methods：A hundred patients with initial stroke completed general information questionnaire,Connor-Davidson,Medical Coping Modes Questionnaire.Results：The total score of psychological elasticity of patients in this survey was lower than normal,and it was found to be significant positive correlated with age,culture,the coping response and avoidance response of the medical response（r=0.311,0.443,0.571,0.307;P〈0.05）,significant negative correlated with the sequelae and yield response（r=-0.379,-0.784;P〈0.01）.Further regression equation analysis showed that,facing coping in a medical response could significantly predict psychological resilience.Conclusion：Facing coping is a influencing factor of psychological resilience.