H型高血压合并急性缺血性卒中患者疾病进展恐惧调查及相关因素的Logistic回归分析

Investigation of Fear of Progression in Patients with H-Type Hypertension Combined with Acute Ischemic Stroke and Logistic Regression Analysis of Relate Factors

目的:调查H型高血压合并急性缺血性卒中(AIS)患者疾病进展恐惧(FoP)水平,分析影响H型高血压合并AIS患者发生Fo P的影响因素。方法:选取2020年7月至2023年3月中国人民解放军空军军医大学第一附属医院收治的159例H型高血压合并AIS患者。采用中文版恐惧疾病进展简化量表(FoP-Q-SF)评估患者FoP,根据是否发生FoP将患者分为FoP组和无FoP组。多因素Logistic回归分析影响H型高血压合并AIS患者发生FoP的因素。结果:本次研究共发放159份问卷,回收154份,回收率96.86%。69例(44.81%)患者存在FoP。FoP组年龄、女性占比、家庭经济收入<5000元/月、偏瘫比例、美国国立卫生研究院卒中量表(NHISS)评分、社会支持为差占比高于无FoP组(P<0.05),日常生活自理能力(ADL)评分、一般自我效能感量表(GSES)评分低于无FoP组(P<0.05)。多因素Logistic回归分析显示年龄偏大、性别为女性、家庭经济收入<5000元/月是H型高血压合并AIS患者发生FoP的危险因素(P<0.05),高ADL评分、高GSES评分、高度社会支持则是保护因素(P<0.05)。结论:H型高血压合并AIS患者FoP的发生率较高,年龄、性别、经济状况、自理能力、自我效能、社会支持是H型高血压合并AIS患者发生FoP的影响因素。

Objective:To investigate the level of fear of progression(FoP)in patients with H-type hypertension combined with acute ischemic stroke(AIS),and to analyze the influencing factors of FoP in patients with H-type hypertension combine with AIS.Methods:159 patients with H-type hypertension combine with AIS admitted to the The First Affiliated Hospital of the Chinese People's Liberation Army Air Force Medical University from July 2020 to March 2023 were selected.Patient's FoP were evaluated by chinese version of the fear of disease progression simplified scale(FoP-Q-SF),patients were divided into FoP group and non-FoP group according to whether FoP occurred.The factors affecting FoP in patients with H-type hypertension combine with AIS were analyzed by multivariate Logistic regression analysis.Results:159 questionnaires were distributed,and 154 were recovered,with a recovery rate of 96.86%.69 cases(44.81%)of patients had FoP.The age,proportion of women,family economic income<5000 yuan/month,proportion of hemiplegia,National Institutes of Health Stroke Scale(NHISS)score and proportion of poor social support in FoP group were higher than those in non-FoP group(P<0.05),and self-care ability in daily life(ADL)score and general self-efficacy scale(GSES)score were lower than those in non-FoP group(P<0.05).Multivariate logistic regression analysis showed that Older age,female and family economic income<5000 yuan/month were risk factors for FoP in patients with H-type hypertension combine with AIS(P<0.05),and high ADL score,high GSES score and high social support were protective factors(P<0.05).Conclusion:The incidence of FoP in patients with H-type hypertension combined with AIS is higher,age,gender,economic status,self-care ability,self-efficacy and social support are the influencing factors of FoP in patients with H-type hypertension combine with AIS.