脑卒中患者反刍性沉思对其希望水平影响的研究

Effect of rumination on the hope level in stroke patients

目的探讨脑卒中患者反刍性沉思和希望水平的现状,并分析反刍性沉思对其希望水平的影响,为临床干预提供依据。方法采用便利抽样法,选取2021年3—6月兰陵县人民医院收治的脑卒中患者为研究对象。采用一般资料调查表、中文版事件相关反刍性沉思问卷(C-ERRI)、Herth希望量表对患者进行调查。采用多重线性回归分析进行影响因素分析。本研究共发放问卷100份,回收有效问卷92份,有效回收率为92.0%。结果92例脑卒中患者C-ERRI总分为(29.40±7.89)分,Herth希望量表总分为(32.97±6.52)分。Pearson相关分析显示,脑卒中患者目的性反刍性沉思与Herth希望量表总分及各维度得分呈正相关(P<0.05)。多重线性回归分析结果显示,性别、文化程度、家庭收入水平、Barthel指数、目的性反刍性沉思是脑卒中患者希望水平的影响因素(P<0.05)。结论脑卒中患者希望水平不高,应多关注女性、文化程度较低、经济收入水平较低、日常生活活动能力较差的脑卒中患者,并采取一定的措施提高患者的目的性反刍性沉思水平,从而提高其希望水平。

Objective To explore the current situation of rumination and hope level in stroke patients and to analyze the effect of rumination on their hope level,so as to provide a basis for clinical intervention.Methods Using the convenient sampling method,stroke patients admitted to Lanling County People's Hospital from March to June 2021 were selected as the research objects.General data questionnaire,Chinese Version of Event Related Rumination Inventory(C-ERRI)and Herth Hope Scale were used to investigate the patients.Multiple linear regression analysis was used to analyze the influencing factors.A total of 100 questionnaires were distributed in this study,and 92 valid questionnaires were recovered,with an effective recovery rate of 92.0%.Results The total score of C-ERRI in 92 stroke patients was(29.40±7.89)and the total score of Herth Hope Scale was(32.97±6.52).Pearson correlation analysis showed that purposeful rumination in stroke patients was positively correlated with the total score and each dimension scores of Herth Hope Scale(P<0.05).The results of multiple linear regression analysis showed that gender,education level,economic income level,Barthel index and purposeful rumination were influencing factors of the hope level of stroke patients(P<0.05).Conclusions The hope level of stroke patients is not high,and more attention should be paid to stroke patients who are female,have a lower education level,a lower level of economic income and have poor activities of daily living.And certain measures should be taken to improve the level of purposeful rumination of patients,thereby raising its hope level.