脑卒中偏瘫患者反刍性沉思与疾病感知的相关性研究

Correlation study of illness perception and rumination in stroke patients with hemiplegia

目的了解脑卒中偏瘫患者疾病感知和反刍性沉思现状,探讨两者的相关性。方法2019年10月~2020年4月,通过便利抽样方法抽取邯郸市第一医院神经内、外科的脑卒中偏瘫患者443例,采用一般资料调查表、简体中文版事件相关反刍性沉思问卷(C-ERRI)、简易疾病感知问卷(BIPQ)进行问卷调查,所得数据进行Pearson相关性分析。结果脑卒中偏瘫患者侵入性沉思得分为(15.72±3.56)分,目的性沉思得分为(14.72±3.91)分;患者疾病感知总分为(48.64±9.94)分,认知型疾病表征得分(29.70±7.45)分,情绪型疾病表征得分为(14.32±3.59)分,疾病了解程度得分为(4.62±2.69)分。侵入性沉思得分与认知型疾病表征、情绪型疾病表征得分均呈正相关(r=0.368、0.354,P<0.01),与疾病了解程度得分呈负相关(r=-0.125,P<0.05);目的性沉思得分与认知型疾病表征、情绪型疾病表征、疾病了解程度得分均呈正相关(r=0.207、0.252、0.320,P<0.01)。结论脑卒中偏瘫患者反刍性沉思处于中等水平,与疾病感知密切相关。

Objective To understand the status quo of disease perception and rumination in stroke patients with hemiplegia,and to explore the correlation between them.Methods From October 2019 to April 2020,by convenience sampling method,443 patients with hemiplegia after stroke were selected from the department of neurology and surgery of the First Hospital of Handan City,they were investgated by the general information questionnaire and the Brief Illness Perception Questionnaire(BIPQ),Chinese Event Related Rumination Inventory(C-ERRI)questionnaire.The pearson correlation analysis was used to analyze the correlation of illness perception and rumination.Results In stroke patients with hemiplegia,the scores of intrusive rumination and deliberate rumination of stroke patients with hemiplegia were(15.72±3.56)and(14.72±3.91).The scores of illness perception、cognitive representation、emotional representation and illness comprehensibility of stroke patients with hemiplegia were(48.64±9.94)、(29.70±7.45)、(14.32±3.59)and(4.62±2.69).The score of the intrusive rumination dimension was positively correlated with cognitive representation and emotional representation dimension scores(r=0.368、0.354,P<0.01),and the score of illness comprehensibility was negatively correlated(r=-0.125,P<0.05).The score ofthe deliberate rumination dimension was positively correlated with cognitive representation、emotional representation and illness comprehensibility dimension score(r=0.207、0.252、0.320,P<0.01).Conclusion In stroke patients with hemiplegia,rumination is at a moderate level and is closely related to disease perception.