康复期脑出血患者医疗风险感知现状及影响因素分析

Current status and influencing factors for medical risk perception in convalescent cerebral hemorrhage patients

目的了解康复期脑出血患者医疗风险感知现状并分析其影响因素,为进一步促进脑出血患者疾病管理提供参考。方法采用便利抽样法,选取2022-01—2023-06在郑州大学第二附属医院住院或复查的192例脑出血患者为研究对象。采用一般资料调查表、慢性病病人风险感知问卷、维克森林医师信任量表及医学应对方式问卷进行调查。结果192例康复期脑出血患者医疗风险感知总分为(41.86±9.54)分。患者医疗风险感知总分与医师信任总分呈显著负相关(r=-0.632,P<0.01)。与面对的医学应对方式呈负相关(P<0.01),与回避的医学应对方式及屈服的医学应对方式呈正相关(P<0.01)。文化程度、年龄、疾病了解程度、医师信任程度及医学应对方式是康复期脑出血患者医疗风险感知的影响因素(P<0.05)。结论康复期脑出血患者医疗风险感知水平较高,且受多种因素影响,可通过提高患者医师信任度,帮助患者做出积极的应对方式,形成适当的医疗风险感知。

Objective To understand the status quo of medical risk perception in convalescent cerebral hemorrhage patients and analyze its influencing factors,so as to provide reference for further promoting the rehabilitation of patients.Methods A total of 192 patients with cerebral hemorrhage who were hospitalized or re-examined in the Second Affiliated Hospital of Zhengzhou University from January 2022 to June 2023 were selected by convenience sampling method.General information questionnaire,primary development of risk perception questionnaire for chronic patients,wake forest physician trust scale and medical coping modes questionnaire were used.Results The total score of medical risk perception in 192 patients with cerebral hemorrhage during rehabilitation was 41.86±9.54.Pearson correlation analysis showed that the total score of medical risk perception in patients with cerebral hemorrhage was significantly negatively correlated with the total score of physician trust(r=-0.632,P<0.01).There was a significant negative correlation with the score of medical coping style(face dimension)(r=-0.608,P<0.01),a significant positive correlation with the score of medical coping style(avoidance dimension)(r=0.544,P<0.01),and a significant positive correlation with the score of medical coping style(yield dimension)(r=0.551,P<0.01).Regression analysis showed that education level,age,disease understanding,physician trust and medical coping style were the influencing factors for medical risk perception of cerebral hemorrhage patients during rehabilitation(P<0.05).Conclusion The level of medical risk perception of patients with cerebral hemorrhage during rehabilitation is high and affected by various factors.Medical staff should take targeted intervention measures to improve the trust of patients’doctors,help patients make positive coping ways,and form appropriate medical risk perception.