脑梗死后恢复期患者述情障碍与健康行为相关性研究

Study on the correlation between alexithymia and healthy behavior in patients recovering from cerebral infarction

目的探讨脑梗死后恢复期患者述情障碍与健康行为的相关性。方法选取2018年4月至2020年4月河南省南阳市第二人民医院脑梗死后恢复期患者132例作为研究对象。观察研究对象述情障碍评分(TAS-26)、健康行为评分(HPLPⅡ)、不同人口学特征TAS-26、HPLPⅡ评分及二者相关性,对研究对象述情障碍、健康行为现状进行多元线性回归分析。结果脑梗死后恢复期患者TAS-26总分高于国内常模,HPLPII总分低于国内常模,差异有统计学意义(P<0.05);不同性别、年龄、文化程度、月收入、婚姻、病程、HPLPⅡ评分、后遗症数目脑梗死后恢复期患者的TAS评分比较,差异均有统计学意义(均P<0.05);不同年龄、病程、文化程度、TAS评分、后遗症数目脑梗死后恢复期患者的HPLPⅡ评分比较,差异均有统计学意义(均P<0.05);TAS评分与HPLPⅡ评分呈负相关(r=-0.627,P<0.001);性别、年龄、文化程度、婚姻、病程、HPLPⅡ评分、月收入、后遗症数目是影响脑梗死后恢复期患者述情障碍危险因素(均P<0.05),年龄、病程、文化程度、TAS评分、后遗症数目均是影响脑梗死后恢复期患者健康行为危险因素(均P<0.05)。结论脑梗死后恢复期患者存在述情障碍水平升高、健康行为差,且述情障碍与健康行为呈负相关关系,明确述情障碍、健康行为发生危险因素,可指导临床针对性给予相应干预措施,以降低患者述情障碍水平,改善其健康行为,促进患者全面康复。

Objective To explore the correlation between alexithymia and healthy behavior in patients in recovery period after cerebral infarction.Methods A total of 132 patients in the recovery period after cerebral infarction in this hospital from April 2018 to April 2020 were selected as the research objects Multiple linear regression analyses were conducted to observe the study subjects Toronto Alexithymia Scale(TAS-26),Health Promotion Lifestyle Profile(HPLP Ⅱ),different demographic characteristics TAS-26 and HPLP Ⅱ scores and the correlation between them.The health behavior and alexithymia were analyzed by multiple linear regression Results The total TAS-26 score of patients in the recovery period after cerebral infarction was higher than the domestic norm and the total HPLPI score was lower than the domestic norm,and the differences were statistically significant(P<0.05);comparison of TAS scores of patients with different gender,age education level,monthly income,marriage course of disease,HPLP Ⅱ score,and number of sequelae in the recovery period after cerebral infarction,and the differences were statistically significant(P<0.05).Comparison of HPLP Ⅱ scoresof patients with different age,course of disease,education level,TAS score,and number of sequelae in the recovery period after cerebral infarction the differences were statistically significant(P<0.05).TAS score was negatively correlated with HPLP Ⅱ score(r=-0.627,P<0.001).Gender,age,education level,marriage,course of illness,HPLP Ⅱ score,monthly income,and number of sequelae were the risk factors for alexithymia in patients in the recovery period after cerebral infarction(P<0.05).Age,course of disease,education level,TAS score and number of sequelae were the risk factors that affect the health behavior of patients in the recovery period after cerebral infarction(P<0.05).Conclusions Patients in the recovery period after cerebral infarction have elevated levels of alexithymia and poor healthy behavior,and there is a negative correlation between alexithymia and healthy behavior.Clarifying the risk factors for alexithymia and healthy behaviors can guide clinical interventions to reduce the level of patients with alexithymia,improve their healthy behaviors and promote the full recovery of patients.