恢复期脑卒中患者自我接纳现状及影响因素分析

Self-acceptance of Convalescent Stroke Patients and Its Influence Factors

目的了解恢复期脑卒中患者自我接纳水平,并分析其影响因素。方法采用便利抽样法选取2020年7月—2021年2月收治于陕西省中医医院针灸科及脑病科各病区的276例恢复期脑卒中患者作为研究对象,使用一般资料调查问卷、自我接纳问卷和脑卒中康复自我效能问卷进行调查,采用多元线性回归分析恢复期脑卒中患者自我接纳的影响因素。结果恢复期脑卒中患者自我接纳得分为(41.06±6.27)分;多元线性回归分析结果显示,自我效能、医疗费用支付方式、人均月收入、对疾病的了解、性别是自我接纳的影响因素(P<0.05),共解释恢复期脑卒中患者自我接纳总变异的36.3%。结论本组恢复期脑卒中患者自我接纳处于较低水平,应重点关注医疗费用为自费、人均收入较低、对疾病知识了解较少的恢复期脑卒中女性患者,为其提供优质的医疗服务,提高自我接纳水平。

Objective To survey the self-acceptance of convalescent stroke patients and analyze its influencing factors.Methods With convenience sampling method,276 patients in the convalescence period of stroke admitted to the Department of Acupuncture and the Department of Encephalopathy of Shaanxi Provincial Hospital of Chinese Medicine from July 2020 to February 2021 were selected as the research subjects and they were surveyed by general information questionnaire,self-acceptance Questionnaire(SAQ),and Stroke Rehabilitation self-efficacy Questionnaire(SSEQ),and multiple linear regression was used to analyze the factors influencing the self-acceptance of convalescing stroke patients.Results The self-acceptance score in convalescent stroke patients was 41.06±6.27.Multiple linear regression analysis showed that self-efficacy,payment method of medical expenses,percapita monthly income,knowledge of disease,and sex were the influence factors of self-acceptance(P<0.05),which explained 36.3%of the total variation of self-acceptance for convalescent stroke patients.Conclusion The self-acceptance of convalescent stroke patients in this group is in a low level.Therefore,more attention should be paid to self-paid convalescent stroke female patients,those with low per capita income,and poor knowledge of the disease,so as to provide high-quality medical service and improve the self-acceptance.