脑梗死偏瘫患者心理弹性特征与情绪、生活质量的关系

Relationship between Psychological Resilience and Emotions and Quality of Life in Hemiplegic Patients with Cerebral Infarction

目的调查脑梗死后偏瘫患者的心理弹性特征,并分析与其情绪、生活质量的关系。方法选取医院2017年12月至2018年12月收治的脑梗死偏瘫患者120例,调查患者的临床资料,并进行心理弹性、情绪、生活质量调查,分析患者的心理弹性特征及其与情绪、生活质量的关系。结果本组患者的心理弹性量表(CD-RISC)平均评分为(58.52±10.22)分,焦虑自评量表(SAS)平均(59.65±4.12)分,抑郁自评量表(SDS)平均(61.02±5.10)分,脑卒中专门化生活质量表(SS-QOL)平均(155.32±20.10)分;年龄≤60岁、轻度缺损、高中及以上学历、个人月收入> 1 000元、医保支付医疗费用患者的CD-RISC、SAS、SDS、SS-QOL评分与年龄> 60岁、中-重度缺损、高中以下学历、个人月收入≤1 000元、自付医疗费用比较有显著差异(P<0.05);Pearson相关性分析CD-RISC评分与SAS、SDS评分呈负相关(r=-0.652、-0.784,P<0.05),与SS-QOL评分呈正相关(r=0.680,P<0.05)。结论脑梗死后偏瘫患者心理弹性、生活质量普遍较低,存在不同程度的负性情绪,且受多因素影响,CD-RISC与SAS、SDS呈负相关,与SS-QOL呈正相关,可通过心理弹性评估了解患者的情绪状态和生活质量。

Objective To investigate the characteristics of resilience of hemiplegic patients after cerebral infarction, and to analyze on the relationship between them and their emotions and quality of life. Methods One hundred and twenty patients with cerebral infarction hemiplegia admitted to our hospital from December 2017 to December 2018 were selected. The clinical data were investigated, and the psychological resilience, emotions and quality of life were investigated. The relationships between the psychological resilience and emotions and quality of life were analyzed. Results The average scores of CDRISC, SAS, SDS, SS-QOL were(58.52±10.22),(59.65±4.12),(61.02±5.10),(155.32±20.10). The CD-RISC, SAS, SDS and SS-QOL scores of patients of age<60, mild impairment, high school education and above, personal monthly incomes>1 000, medical insurance payment were significantly different from those of patients with age>60, moderate to severe defects, education background below senior high school, personal monthly income less than 1 000 yuan and self-paid medical expenses(P<0.05). The CD-RISC scores were negatively correlated with SAS and SDS scores(r=-0.652,-0.784, P<0.05), and positively correlated with SS-QOL scores by Pearson correlation analysis(r=0.680, P<0.05). Conclusion Psychological resilience and quality of life of hemiplegic patients after cerebral infarction are generally low, and there are different degrees of negative emotions. CD-RISC is negatively correlated with SAS and SDS, and positively correlated with SS-QOL. The emotional state and quality of life of patients can be understood by psychological resilience assessment.