脑卒中患者自我接纳水平调查及其影响因素分析

Investigation on Self-acceptance Level of Stroke Patients and Analysis of Its Influencing Factors

目的调查脑卒中患者自我接纳水平,并分析其影响因素。方法以便利抽样法选择2019年1月—2021年9月广东省工人医院“门诊+住院”接诊的210例脑卒中患者进行问卷调查。采用现场问卷调查方式进行研究,工具包括:自制一般资料调查表、焦虑自评量表(self-rating anxietyscale,SAS)、贝克抑郁自评量表(Beck depression inventory,BDI)、社会支持评定量表(social support rating scale,SSS)、日常生活能力量表(activity of daily living scale,ADL)、自我接纳问卷(self acceptance questionnaire,SAQ)。结果本研究的210例患者中SAQ得分(38.15±8.24)分,较国内常模的(42.06±6.63)分更低,差异有统计学意义(P<0.05)。多元线性回归分析,进入方程的因素有:婚姻状况、家庭月均收入、焦虑、抑郁、社会支持、日常生活能力(P<0.05)。结论脑卒中患者自我接纳水平较低,婚姻状况、家庭月均收入、焦虑、抑郁、社会支持、日常生活能力均对患者自我接纳水平有显著影响,建议临床上可根据上述因素给予个性化的心理辅导及健康教育以提高脑卒中患者的自我接纳水平。

Objective To investigate the level of self-acceptance in stroke patients and analyze its influencing factors.Methods A questionnaire survey of 210 stroke patients admitted to Guangdong Workers’Hospital from January 2019 to September 2021 by"outpatient+inpatient"was selected by convenience sampling method.A field questionnaire was used to conduct the research,and the tools included:self-made general information questionnaire,selfrating anxiety scale(SAS),Beck depression scale(BDI),social support rating scale(SSS),daily living ability scale(ADL),self-acceptance questionnaire(SAQ).Results The SAQ score of the 210 patients in this survey was(38.15±8.24)points,which was lower than the domesticnorm of(42.06±6.63)points,and the difference was statistically significant(P<0.05).In the multiple linear regression analysis,the factors that entered the equation were:marital status,average monthly family income,anxiety,depression,social support,and ability of daily living(P<0.05).Conclusion The level of self-acceptance in stroke patients is low.Marital status,average monthly family income,anxiety,depression,social support,and daily living ability all have a significant impact on the self-acceptance level of patients.It is suggested that individualized psychological counseling and health education can be provided according to the above factors to improve the level of self-acceptance of stroke patients.