脑卒中病人夫妻沟通模式现状及影响因素

Current status and influencing factors of couple communication patterns in stroke patients

目的:调查脑卒中病人夫妻沟通模式现状,并分析其影响因素。方法:采用便利抽样法,于2022年10月—2023年4月选取河南省某6所三级甲等医院神经内科的381例脑卒中病人为调查对象。采用一般资料调查表、改良版Rankin量表、中文版家庭韧性问卷、领悟社会支持量表、亲密关系满意度量表和沟通模式问卷进行调查。采用多元线性回归分析沟通模式的影响因素。结果:脑卒中病人的建设性沟通得分为(10.74±8.69)分,要求/回避沟通得分为(17.83±9.07)分,双方回避沟通得分为(8.64±4.85)分。多元线性回归分析结果显示,病人的性别、家庭人均月收入、患病后工作情况、病程、脑卒中次数、合并症数量、有无语言功能障碍、对自己病情了解程度、家庭韧性、领悟社会支持和亲密关系满意度是沟通模式的影响因素(P<0.05)。结论:脑卒中病人的建设性沟通有待提高,医护人员应根据沟通模式的影响因素制定针对性的干预措施,以帮助脑卒中病人夫妻积极应对疾病,改善其沟通模式,从而减轻其负性情绪。

Objective:To investigate the status of couple communication patterns in stroke patients and to analyze their influencing factors.Methods:A convenience sampling method was used to select 381 stroke patients from the neurology departments of six tertiary hospitals in Henan Province from October 2022 to April 2023.General information questionnaire,modified Rankin Scale,Chinese Family Resilience Questionnaire,Perceived Social Support Scale,Quality of Relationship Index and Communication Pattern Questionnaire were used for the survey.Multiple linear regression was used to analyze the influencing factors of couple communication patterns.Results:Stroke patients scored(10.74±8.69)for constructive communication,(17.83±9.07)for demand-withdraw communication,and(8.64±4.85)for mutual avoidance and withholding communication.Multiple linear regression analysis showed that patients'gender,monthly per capita household income,post-illness work status,duration of illness,number of strokes,number of comorbidities,presence of language dysfunction,knowledge of their illness,family resilience,social support,and intimacy were the influencing factors of couple communication patterns(P<0.05).Conclusion:Constructive communication in stroke patients needs to be improved,and healthcare professionals should develop targeted interventions based on influencing factors of couple's communication patterns in order to help couples cope with the disease positively and improve their communication patterns,thus reducing their negative emotions.