急性脑梗死后患者情绪-社交孤独与心理因素的相关性

The associations between emotional-social loneliness and psychological factors in patients with acute cerebral infraction

目的分析急性脑梗死后患者情绪-社交孤独与自尊水平、自我效能、应对方式的相关性。方法采用情绪-社交孤独量表、自尊量表、一般自我效能量表和简易应对方式问卷,对2017年1~10月期间在山东省五所三级甲等医院确诊的173名急性脑梗死后患者进行面对面调查。采用多因素Logistic回归模型分析相关关联。结果在173名急性脑梗死后患者中,情绪孤独、社交孤独、情绪孤立和社交孤立的检出人数和检出率分别为46例(26.59%)、42例(24.27%)、58例(33.53%)和76例(43.93%)。多因素Logistic回归分析显示,患者的家庭月收入、职业状况、自尊水平、自我效能和积极应对是情绪-社交孤独的影响因素;其中自尊水平是情绪-社交孤独的独立保护因素(P<0.01);自我效能(B=-0.096,OR=0.909,95%CI=0.833~0.992,P=0.032)和积极应对(B=-1.401,OR=0.246,95%CI=0.123~0.495,P<0.01)分别是社交孤独和社交孤立的保护因素。结论自尊水平、自我效能和应对方式与急性脑梗死后患者情绪-社交孤立不同维度独立相关。本研究为急性脑梗死后患者情绪-社交孤立的预防和干预措施的制定提供理论依据。

Objective To investigate the associations between emotional-social loneliness and including self-esteem,self-efficiency and coping style in patients with cerebral infraction.Methods Totally 173 inpatients with acute cerebral infraction in five Three-A hospitals in Shandong province from Jan.2017 to Oct.2017 were selected.The emotional-social loneliness questionnaire,self-esteem scale,general self-efficacy scale,coping style scale were adopted by face to face interview in this study.Multivariate logistic regression analysis was conducted to determine the associations.Results Among 173 acute cerebral infraction inpatients,emotional loneliness,social loneliness,emotional isolation and social isolation were found in 46 cases(26.59%),42 cases(24.21%),58 cases(33.53%)and 76 cases(43.93%)respectively.Multivariate logistic regression analysis showed that monthly family income,occupations,self-esteem,self-efficacy and positive coping style were independent factors for emotional-social loneliness.Among the above related factors,self-esteem was a protective factor for emotional-social loneliness(P<0.01).Self-efficacy(B=-0.096,OR=0.909,95%CI=0.833-0.992,P=0.032)and positive coping style(B=-1.401,OR=0.246,95%CI=0.123-0.495,P<0.01)were protective factors for social loneliness and social isolation,respectively.Conclusions Self-esteem,self-efficacy and coping style were independently correlated with emotional-social loneliness.This study provides evidences for emotional-social loneliness prevention and intervention in patients with acute cerebral infraction.