脑出血恢复期患者健康坚韧性现状及影响因素分析

Analysis of the Current Status and Influencing Factors of Health-related Hardiness in Patients with Cerebral Hemorrhage during the Rrecovery Stage

目的探讨脑出血恢复期患者健康坚韧性现状,并分析其影响因素。方法选取2022年4月-2023年11月我院收治的脑出血恢复期患者226例作为研究对象,采用一般情况调查表、健康坚韧性量表(HRHS)、Barthel指数(BI)、伤残接受度量表(ADS)、简易应对方式量表(SCSQ)和家庭关怀度指数问卷(FAI)进行调查。结果脑出血恢复期患者健康坚韧性得分为(109.79±17.75)分;多元线性回归分析结果显示,年龄、居住地、BI、伤残接受度、消极应对、家庭关怀度是健康坚韧性的主要影响因素,可预测总变异的55.7%。结论脑出血恢复期患者健康坚韧性为中等偏低水平,护理人员应重点关注年轻、居住农村、BI得分低的患者,提高患者伤残接受度和家庭关怀度,避免消极应对,提升健康坚韧性。

Objective To investigate the health-related hardiness of patients with cerebral hemorrhage during the recovery stage,and analyze its influencing factors.Methods 226 patients with cerebral hemorrhage during the recovery stage from April 2022 to November 2023 were investigated using the general situation survey,Health-related Hardiness Scale(HRHS),Barthel index(BI),Acceptance of Disability Scale(ADS),Simplified Coping Style Questionnaire(SCSQ)and Family APGAR Index(FAI).Results The health-related hardiness of patients with cerebral hemorrhage during the recovery stage was(109.79±17.75)points;multiple linear regression analysis showed that age,residence,BI score,the total score of disability acceptance,negative coping,family care were main influencing factors of health-related hardiness,which could predict 55.7%total variation.Conclusion The health-related hardiness of patients with cerebral hemorrhage during the recovery stage is at a moderate to low level.Nursing staff should pay attention to evaluating the health-related hardiness of patients with cerebral hemorrhage during the recovery stage,focusing on young,rural,and low BI index score patients,and pay attention to improving their disability acceptance and family care,guide them to avoid negative coping,thereby enhancing their health-related hardiness.