脑出血术后患者家属家庭抗逆力现况及影响因素分析

Current status of family resilience of family members of patients with postoperative intracerebral hemorrhage and its influencing factors

目的调查脑出血术后患者家属家庭抗逆力现况,分析其影响因素。方法采用方便抽样法,选取2021年11月—2022年10月于连云港市某三级甲等医院住院的202例脑出血术后患者家属作为调查对象。采用一般资料调查表、心理一致感量表、家庭关怀度指数测评量表、家庭亲密度和适应性量表以及家庭弹性评定量表中文简化版进行调查。结果202例脑出血术后患者家属家庭弹性量表得分为(96.66±8.15)分。多元线性回归分析结果显示,患者的改良预警评分和住院时间以及其家属的文化程度、家庭月收入、照顾经验、心理一致感、家庭关怀度和家庭亲密度与适应性是家庭抗逆力的影响因素(P<0.05)。结论脑出血术后患者家属的家庭抗逆力水平有待提高。尤其是需要加大对低学历、低收入、无照顾经验的家属以及改良早期预警评分较高和住院时间较长患者家属家庭抗逆力的关注度,提高其心理一致感、家庭关怀度和家庭亲密度与适应性,进而改善其家庭抗逆力水平。

Objective To investigate the current status of family resilience of the family members of patients with postoperative intracerebral hemorrhage and to analyze the influencing factors.Methods From November 2021 to October 2022,202 family members of patients with postoperative intracerebral hemorrhage of tertiary grade-A hospital in Lianyungang were collected by convenience sampling,and they were surveyed by using general information questionnaire,Sense of Coherence-13 Scale,Family Concern Index Questionnaire,Family Adaptability and Cohesion Evaluation ScalesⅡand Shortened Chinese Version of the Family Resilience Assessment Scale.Results The total score of family resilience in 202 family members of patients with postoperative intracerebral hemorrhage was 96.66±8.15.Multiple linear regression analysis revealed that patients’modified early warning score and length of hospital stay,as well as their family members’education background,family monthly income,care experience,sense of coherence,family concern,and family adaptability and cohesion were the influencing factors of family resilience(P<0.05).Conclusion Family resilience in family members of patients with postoperative intracerebral hemorrhage needs to be improved.More attention should be paid to family resilience of family member with less education,low income and no caregiving experience,as well as patients with higher modified early warning score and longer hospital stays,and improving their sense of coherence,family concern and family adaptability and cohesion are beneficial to improving their family resilience.