中青年脑梗死恢复期患者心理弹性的影响因素

Influencing factors of psychological resilience in young and middle-aged patients with cerebral infarction in recovery period

目的:分析中青年脑梗死恢复期患者心理弹性的影响因素。方法:选取2021年1月至2022年2月98例中青年脑梗死恢复期患者进行横断面研究,以电话问卷调查方式获得患者一般资料、美国国立卫生研究院卒中量表(NIHSS)评分、领悟社会支持量表(PSSS)评分、自我效能感量表(GSES)评分、心理弹性量表(CD-RISC)评分。观察患者CD-RISC评分,比较不同临床资料患者CDRISC评分,采用多重线性回归分析中青年脑梗死恢复期患者CD-RISC评分的影响因素。结果:98例中青年脑梗死恢复期患者CD-RISC总分19~95分,平均(69.97±7.08)分。NIHSS评分≤4分者CD-RISC评分高于>4分者;定期康复训练者CD-RISC评分高于未定期康复训练者;高社会支持水平者CD-RISC评分高于中等水平者和低水平者,且中等水平者高于低水平者;高自我效能水平者CD-RISC评分高于中等水平者和低水平者,且中等水平者高于低水平者,差异均有统计学意义(P<0.05)。多重线性回归分析结果显示,定期康复训练、NIHSS评分、社会支持水平、自我效能水平均为中青年脑梗死恢复期患者CD-RISC评分的影响因素(P<0.05)。结论:定期康复训练、NIHSS评分、社会支持水平、自我效能水平均为中青年脑梗死恢复期患者心理弹性的影响因素。

Objective:To analyze influencing factors of psychological resilience in young and middle-aged patients with cerebral infarction in recovery period.Methods:A cross-sectional study was conducted on 98 young and middle-aged patients with cerebral infarction in recovery period from January 2021 to February 2022.The general information questionnaire,the national institutes of health stroke scale(NIHSS)score,the perceived social support scale(PSSS)score,the self-efficacy scale(GSES)score and the Connor-Davidson resilience scale(CD-RISC)score were obtained by telephone questionnaire survey.The CD-RISC scores of the patients were observed,and the CD-RISC scores of the patients with different clinical data were compared.Multiple linear regression was used to analyze the influencing factors of the CD-RISC scores in the young and middleaged patients with cerebral infarction in recovery period.Results:The total score of CD-RISC of the 98 young and middle-aged patients with cerebral infarction in recovery period was 19-95 points with an average of(69.97±7.08)points.The CD-RISC score of the patients with NIHSS score≤4 was higher than that of the patients with NIHSS score>4;the CD-RISC scores of the patients with regular rehabilitation training were higher than those of the patients without regular rehabilitation training;the CD-RISC scores of the patients with high social support levels were higher than those of the patients with medium and low social support levels,and those of the patients with medium social support levels were higher than those of the patients low social support levels;the CD-RISC scores of the patients with high self-efficacy levels were higher than those of the patients with medium and low self-efficacy level,and that of patients with medium self-efficacy level was higher than that of patients with low self-efficacy levels;and the differences were statistically significant(P<0.05).The multiple linear regression analysis showed that regular rehabilitation training,NIHSS score,social support level and self-efficacy level were the influencing factors of the CD-RISC score in the young and middle-aged patients with cerebral infarction in recovery period(P<0.05).Conclusions:Regular rehabilitation training,NIHSS score,social support level and self-efficacy level are the influencing factors of the CD-RISC score in the young and middle-aged patients with cerebral infarction in recovery period.