广东省脑卒中患者对心理服务需求的现状调查

Surveying The Status of Stroke Patients’Psychological Service Needs in Guangdong Province

目的:了解脑卒中患者的心理服务需求及其影响因素。方法:对广东省内8所医院就诊的452例脑卒中患者进行问卷调查,对数据主要进行卡方检验及Logistic回归分析。结果:有33.6%的脑卒中患者存在心理问题,15.7%患者需要心理咨询或治疗,19.9%患者希望医院提供心理服务。年龄、脑卒中疾病的每月总费用和首次确诊脑卒中时间是脑卒中患者心理问题发生率的主要影响因素(P<0.05)。年龄、职业和脑卒中疾病的每月总费用为脑卒中患者心理服务需求的主要影响因素(P<0.05)。结论:医院专业团队在制定个性化慢性病管理方案时应适当增加心理服务的内容,从而帮助脑卒中患者解决心理问题,提升生活质量。

Objective To study the psychological service needs of stroke patients and its influencing factors. Methods 452 stroke patients were sampled from 8 hospitals in Guangdong Province and surveyed with questionnaire. Data was analyzed by chi-square test and logistic regression analysis. Results 33.6% of these sampled stroke patients had psychological problems. 15.7% of them needed psychological consultation and treatment. And 19.9% of them wanted psychological services from the hospital. Age, monthly total cost of stroke disease, and time to first diagnosis of stroke were the main factors to influence the incidence of psychological problems in patients with stroke(P<0.05). And age, occupation, monthly total cost of stroke disease were the main factors to influence the psychological services needs of stroke patients(P<0.05). Conclusion It is suggested to increase the content of psychological services in developing personalized chronic disease management programs, which can help the stroke patients to solve psychological problems and improve their life quality.