脑卒中患者乐观倾向与反刍性沉思水平分析

Analysis of optimistic tendency and rumination level in patients with cerebral stroke

目的观察脑卒中患者乐观倾向与反刍性沉思水平,并分析二者之间的关系。方法选择2019年7月至2021年6月首都医科大学附属北京康复医院收治的116例脑卒中康复期患者作为研究对象,全部患者均接受事件相关反刍性沉思问卷(ERRI)调查,并根据患者ERRI评分将患者分为侵入组与目的组。设计患者基线资料调查表,比较2组患者基线资料、乐观倾向[采用乐观主义-悲观主义量表(POS)评估]、领悟社会支持[采用领悟社会支持评定量表(PSSS)评估],重点分析脑卒中患者乐观倾向与反刍性沉思水平的关系。结果116例脑卒中患者中倾向侵入性沉思68例,侵入性沉思占58.62%(68/116);侵入组患者高中及以上文化程度占比高于目的组,POS中乐观主义评分、PSSS评分低于目的组,POS中悲观主义评分高于目的组,差异有统计学意义(P<0.05);组间其他资料比较差异无统计学意义(P>0.05);经双变量Pearson相关性检验结果显示,脑卒中患者POS中乐观主义评分与ERRI中侵入性沉思、POS中悲观主义评分与ERRI中目的性沉思呈负相关(r<0,P<0.05),POS中乐观主义评分与ERRI中目的性沉思、POS中悲观主义评分与ERRI中侵入性沉思呈正相关(r>0,P<0.05);经Logistic回归分析,结果显示,高中及以下文化程度、POS中悲观主义评分高是脑卒中患者反刍性沉思的危险因素(OR>1,P<0.05),POS中乐观主义评分高、PSSS评分高是脑卒中患者反刍性沉思的保护因素(OR<1,P<0.05)。结论脑卒中患者反刍性沉思水平倾向于侵入性沉思,可能与患者乐观倾向存在一定关系。

Objective To investigate the correlation between the optimistic tendency and rumination level in patients with cerebral stroke.Methods A total of 116 patients with cerebral stroke at convalescence who were treated in our hospital from July 2019 to June 2021 were enrolled in the study,who were investigated by the event-related rumination inventory(ERRI)questionnaire,according to the ERRI scores,the patients were divided into invasive group and target group.The baseline data questionnaire was designed,and the baseline data,optimistic tendency[assessed by optimism pessimism scale(POS)]and perceived social support[assessed by perceived social support scale(PSSS)]were observed and compared between the two groups.Moreover the correlation between optimistic tendency and rumination level of patients was analyzed.Results Of the 116 patients,68 cases were inclined to invasive meditation,accounting for 58.62%(68/116).The proportion of high school and above education level in invasive group was higher than that in the target group,however the POS optimistic tendency scores and PSSS scores were lower than those in target group,and the POS pessimism scores were significantly higher than those in target group(P<0.05).There were no significant differences in the other data between the two groups(P>0.05).The bivariate Pearson correlation test showed that there was a negative correlation between optimistic tendency score in POS and invasive meditation in ERRI(P<0.05),however the scores of optimistic tendency in POS were positively correlated with purposive meditation in ERRI(P<0.05).Logistic regression analysis showed that the education levels of senior high school or below and the high pessimism scores in POS were the risk factors of rumination in patients with stroke(P<0.05),and the higher scores of optimistic tendency as well as PSSS in POS were protective factors of rumination in patients with stroke(P<0.05).Conclusion The rumination levels of patients with cerebral stroke tend to be more invasive meditation,which may be related to the optimistic tendency of patients.