[1]臧学敏,张亚军,汪张毅.脑卒中患者生存质量与伤残接受度、病耻感及自我效能的相关性[J].医学信息,2023,36(06):128-133.[doi:10.3969/j.issn.1006-1959.2023.06.028]
　ZANG Xue-min,ZHANG Ya-jun,WANG Zhang-yi.Correlation Between Quality of Life and Disability Acceptance,Stigma and Self-efficacy in Stroke Patients[J].Journal of Medical Information,2023,36(06):128-133.[doi:10.3969/j.issn.1006-1959.2023.06.028]
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脑卒中患者生存质量与伤残接受度、病耻感及自我效能的相关性()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年06期
页码:
128-133
栏目:
论著
出版日期:
2023-03-15

文章信息/Info

Title:
Correlation Between Quality of Life and Disability Acceptance,Stigma and Self-efficacy in Stroke Patients
文章编号:
1006-1959（2023）06-0128-06
作者:
臧学敏; 张亚军; 汪张毅
（1.天津医科大学第二医院呼吸科，天津 300211；2.天津中医药大学第二附属医院手术室，天津 300250；3.天津中医药大学研究生院，天津 301617）
Author(s):
ZANG Xue-min; ZHANG Ya-jun; WANG Zhang-yi
(1.Pneumology Department of the Second Hospital of Tianjin Medical University,Tianjin 300211,China;2.Operating Room of the Second Affiliated Hospital of Tianjin University of Chinese Medicine,Tianjin 300250,China; 3.Graduate School of Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
关键词:
脑卒中; 生存质量; 伤残接受度; 病耻感; 自我效能
Keywords:
Stroke; Quality of life; Disability acceptance; Stigma; Self-efficacy
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2023.06.028
文献标志码:
A
摘要:
目的 了解脑卒中患者生存质量现状，探索其与伤残接受度、病耻感及自我效能之间的相关性，为构建提高脑卒中患者生存质量的干预方案提供理论依据。方法 采用便利抽样法，于2021年11月-2022年4月抽取天津市3家三级甲等医院294例脑卒中患者作为调查对象，使用一般资料调查表、脑卒中专用生活质量量表（SS-QOL）、伤残接受度量表（ADS）、慢性病病耻感量表（SSCI）及脑卒中自我效能量表（SSEQ）进行问卷调查。结果 脑卒中患者SS-QOL、ADS及SSEQ量表总分分别为（148.60±37.20）分、（86.60±16.22）分、（79.98±11.72）分，均处于中等水平；SSCI量表总分为（54.10±10.69）分，处于中等偏上水平；性别、年龄、婚姻状况、文化程度、工作情况、子女情况、主要照护者年龄、主要照护者健康状态、医保类型、家庭人均月收入、是否有社区卫生服务、家庭直系亲属中是否有医务工作者、疾病患病时间、住院次数、并发症都对脑卒中患者的生存质量有影响；相关性分析显示，生存质量与伤残接受度（r=0.701）及自我效能（r=0.325）呈正相关，与病耻感（r=-0.613）呈负相关。结论 脑卒中患者生存质量、伤残接受度及自我效能均处于中等水平，有待进一步提升，病耻感处于中等偏上水平，有待进一步减轻。建议医护人员应根据脑卒中患者个性化特征，制定针对性的干预措施，以此提升脑卒中患者伤残接受度和自我效能，降低其病耻感，进而提升其生存质量和主观幸福感。
Abstract:
Objective To understand the status quo of quality of life of stroke patient, and explore the its correlation among disability acceptance, stigma and self-efficacy, so as to provide a theoretical basis for the construction of intervention programs to improve the quality of life of stroke patients.Methods A total of 294 stroke patients were selected from 3 grade-A hospitals in Tianjin from November 2021 to April 2022 by using a convenience sampling method. The general information questionnaire, Storke Specific Quality of Life Scale (SS-QOL), Acceptance of Disability Scale (ADS), Stigma Scale for Chronic Illness (SSCI), and Stroke Self-efficacy Questionnaire (SSEQ) were investigated.Results The total scores of quality of life, disability acceptance and self-efficacy of stroke patients were (148.60±37.20) scores, (86.60±16.22) scores, (79.98±11.72) scores, respectively, which were at the medium level; and the total score of stigma was (54.10±10.69) scores, which was at the medium high level. Gender, age, marital status, education level, work status, children’s situation, age of main caregivers, health status of main caregivers, type of medical insurance, family per capita monthly income, whether there are community health services, whether there are medical workers in the immediate family relatives, time of illness, number of hospitalizations and complications all had an impact on the quality of life of stroke patients; correlation analysis showed that quality of life was positively correlated with disability acceptance (r=0.701) and self-efficacy (r=0.325), and negatively correlated with stigma (r=-0.613).Conclusion The quality of life, disability acceptance and self-efficacy of stroke patients are at the middle level, which needs to be further improved. The stigma is at the upper middle level, which needs to be further reduced. It is suggested that medical staff should formulate targeted intervention measures according to the personalized characteristics of stroke patients, so as to improve the disability acceptance and self-efficacy of stroke patients, reduce their stigma, and then improve their quality of life and subjective well-being.

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更新日期/Last Update: 1900-01-01