脑卒中恢复期患者自我隐瞒现状及其影响因素分析

Self-concealment and its influencing factors of stroke patients in recovery period

目的:分析脑卒中恢复期患者自我隐瞒现状及其影响因素。方法:采用一般资料调查表、自我隐瞒量表(SCS)、医学应对问卷(MCMQ)和社会支持评定量表(SSRS)对296例脑卒中恢复期患者进行分析。结果:脑卒中恢复期患者自我隐瞒总分平均值为(39.04±5.51)分;多元线性回归显示,家庭人均月收入、自理能力、面对应对、社会支持总分是自我隐瞒的主要影响因素;自我隐瞒与面对应对及社会支持呈正相关,可解释总变异51.4%。结论:脑卒中恢复期患者的自我隐瞒处于高水平。临床医护人员应引导患者采用面对应对,加强社会支持,以降低患者的自我隐瞒程度。

Objective:To investigate the status of self-concealment and its influencing factors of stroke patients in recovery period.Method:A total of 296 stroke patients in recovery period were investigated using the general information questionnaire,self-concealment scale(SCS),medical coping modes questionnaire(MCMQ),and social support rate scale(SSRS).Results:The average total score of self-concealment for stroke patients in recovery period was(39.04±5.51)points;Multiple linear regression showed that family monthly income per capita,self-care ability,face coping,and social support were the main influencing factors of self-concealment.Self-concealment was positively correlated with facing coping and social support,which could explain 51.4%of the total variation.Conclusions:The self-concealment of stroke patients in recovery period is at a high level.Clinical medical staff should guide patients to adopt face coping and strengthen social support to reduce patients’self-concealment.