脑卒中康复期患者社会疏离、病耻感及生存质量的相关性研究

Correlation Study of Social Distancing,Stigma and Quality of Life in Convalescent Patients with Stroke

目的对脑卒中康复期患者社会疏离、病耻感及生存质量进行现状调查、分析其相关性,并探讨生存质量的影响因素。方法选取2022年1月至2023年6月就诊于本院的110例脑卒中患者为研究对象,采用一般资料问卷、一般疏离感量表、社会影响量表、健康调查简表对入组脑卒中患者进行问卷调查。结果共有110例脑卒中患者进入本研究,其中,缺血性卒中82例,出血性卒中28例,年龄48~79岁,平均(54.53±7.45)岁,男性69例,占比62.73%,女性41例,占比37.27%。量表评估结果显示:社会疏离得分(48.58±5.46)分、病耻感得分(70.64±6.45)分、生存质量得分(50.26±6.42)分。脑卒中康复期患者社会疏离得分与病耻感得分间呈现正相关关系(r=0.425,P=0.013);社会疏离得分与生存质量得分间呈负相关关系(r=-0.326,P=0.009);病耻感得分与生存质量得分间负相关关系(r=-0.315,P=0.022)。影响因素分析结果显示:月收入、受教育程度、社会疏离得分及病耻感得分是脑卒中康复期患者生存质量得分的影响因素(P<0.05)。结论脑卒中康复期患者社会疏离水平较高、病耻感水平一般、生存质量水平一般。提示临床护理人员应根据患者具体疾病情况,不仅需要密切关注患者疾病及康复情况,也需要最大限度的降低患者出现的社会疏离和病耻感水平,改善患者可能出现的社会性衰弱,对提高脑卒中康复期患者的生存质量有积极意义。

Objective To investigate the status quo of social alienation,stigma and quality of life of stroke patients during rehabilitation,analyze their correlation,and explore the influencing factors of quality of life.Methods A total of 110 stroke patients admitted to our hospital from January 2022 to June 2023 were selected as the study objects.General data questionnaire,general alienation scale,social impact scale and health survey brief form were used to investigate the enrolled stroke patients.Results A total of 110 stroke patients were enrolled in this study,including 82 ischemic stroke patients and 28 hemorrhagic stroke patients,aged 48-79 years,with an average age of(54.53±7.45)years,69 males,accounting for 62.73%,and 41 females,accounting for 37.27%.The results of scale evaluation showed:social distancing score(48.58±5.46),stigma score(70.64±6.45),quality of life score(50.26±6.42).There was a positive correlation between social distancing score and stigma score in stroke rehabilitation patients(r=0.425,P=0.013).There was a negative correlation between social alienation score and quality of life score(r=-0.326,P=0.009).Stigma scores were negatively correlated with quality of life scores(r=-0.315,P=0.022).The analysis of influencing factors showed that monthly income,education level,social distancing score and stigma score were the influencing factors of quality of life score of stroke rehabilitation patients(P<0.05).Conclusions The level of social distancing,the level of stigma and the quality of life of the patients in the rehabilitation period of stroke were relatively high.It is suggested that clinical nurses should not only pay close attention to the disease and rehabilitation of patients according to the specific disease conditions of patients,but also reduce the level of social alienation and stigma of patients as much as possible,and improve the social weakness of patients,which has positive significance for improving the quality of life of patients in the rehabilitation period of stroke.