急性缺血性脑卒中患者疾病进展恐惧及其影响因素分析

Influencing factors of fear of disease progression in acute ischemic stroke patients

目的了解缺血性脑卒中患者疾病进展恐惧的现状,并分析其影响因素。方法采用便利抽样法,2019年10月至2020年1月对邯郸市3所三级甲等综合医院的358名缺血性脑卒中患者采用一般情况调查表、疾病进展恐惧简化量表、领悟社会支持量表、家庭关怀度指数问卷进行调查。结果缺血性脑卒中患者疾病进展恐惧总分为(25.76±9.83)分,处于中等偏下水平,其中发生心理功能失调者116例(32.4%)。多元逐步线性回归分析结果显示,影响缺血性脑卒中患者疾病进展恐惧的因素有年龄、性别、家族史、发病次数、改良Rankin量表(Modified Rankin Scale,MRS)、家庭关怀度、领悟社会支持,共同解释59.2%的变异。结论缺血性脑卒中患者存在疾病进展恐惧,医护人员应重点关注年轻、女性、有家族史、首次发病、MRS评分高的脑卒中患者。

Objective To investigate the current situations of fear of disease progression in ischemic acute ischemic stroke patients and explore the influencing factors.Method A total of 358 patients with ischemic stroke,chosen from three general hospitals with convenience sampling method from October 2019 to January 2020,were surveyed with a general information questionnaire,the fear of progression questionnaire-short form,the perceived social support scale,the family APGAR index,the modified rankin scale(MRS).Results The total score was(25.76±9.83),at the lower middle level.Among the patients,116(32.4%)had mental dysfunction.Multiple linear regression analysis showed that the influencing factors were age,gender,family history,frequency of onset,MRS score,family care,perceived social support,which together could explain 59.2%of the variation.Conclusions Patients with acute ischemic stroke suffer from the fear of disease progression.Medical staff should focus on patients who are young,female,and with family history and higher MRS score.