[1]宋 静,郭 楠,吴丽红.脑卒中后偏瘫康复患者疾病不确定感与医学应对的相关性分析[J].医学信息,2020,33(15):130-132.[doi:10.3969/j.issn.1006-1959.2020.15.040]
　SONG Jing,GUO Nan,WU Li-hong.Correlation Analysis of Illness Uncertainty and Medical Responsein Patients with Hemiplegia After Stroke[J].Medical Information,2020,33(15):130-132.[doi:10.3969/j.issn.1006-1959.2020.15.040]
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脑卒中后偏瘫康复患者疾病不确定感与医学应对的相关性分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年15期
页码:
130-132
栏目:
调查分析
出版日期:
2020-08-01

文章信息/Info

Title:
Correlation Analysis of Illness Uncertainty and Medical Responsein Patients with Hemiplegia After Stroke
文章编号:
1006-1959（2020）15-0130-03
作者:
宋 静; 郭 楠; 吴丽红
首都医科大学附属复兴医院，北京 100038
Author(s):
SONG Jing; GUO Nan; WU Li-hong
Fuxing Hospital Affiliated to Capital Medical University,Beijing 100038,China
关键词:
脑卒中偏瘫; 康复; 疾病不确定感; 医学应对
Keywords:
Stroke hemiplegia; Rehabilitation; Illness uncertainty; Medical response
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2020.15.040
文献标志码:
A
摘要:
目的 探讨脑卒中后偏瘫康复患者疾病不确定感与医学应对的相关性。方法 采用横断面调查方法，选取2019年1~12月我院收治的100例脑卒中后偏瘫康复患者作为研究对象，采用一般资料调查表、疾病不确定感量表、医学应对量表进行问卷调查，分析患者疾病不确定感与医学应对得分情况及其相关性，并采用逐步回归分析患者疾病不确定感的影响因素。结果 脑卒中后偏瘫康复患者疾病不确定感得分（100.27±5.81）分，各维度得分由高到低分别为不明确性、复杂性、信息缺乏、不可预测性；医学应对得分为（39.91±2.50）分，各维度得分由高到低分别为面对应对、回避应对、屈服应对。Pearson相关性分析显示，脑卒中偏瘫康复患者疾病不确定感与医学应对中的面对应对呈负相关（r=-0.462，P＜0.05），回避应对、屈服应对呈正相关（r=0.597、0.653，P＜0.05）；Logistics多元线性回归分析显示，医学应对中的面对应对、回避应对、屈服应对均是脑卒中偏瘫康复患者疾病不确定感的影响因素。结论 脑卒中偏瘫后患者疾病不确定感为中等水平，与医学应对具有相关性，医学应对各维度是患者疾病不确定感影响因素。护士应采取针对性护理措施，降低患者疾病不确定感水平，从而提高医学应对水平。
Abstract:
Objective To explore the relationship between illness uncertainty and medical response in patients with hemiplegia after stroke. Methods A cross-sectional survey method was used to select 100 patients with post-stroke hemiplegia who were admitted to our hospital from January to December 2019 as the research objects. The general information questionnaire, the disease uncertainty scale, and the medical response scale were used for questionnaire surveys analyze the patient’s disease uncertainty and medical response scores and their correlation, and use stepwise regression to analyze the influencing factors of patients’ disease uncertainty.Results Rehabilitation patients with hemiplegia after stroke have a score of (100.27±5.81) for their sense of disease uncertainty. The scores of each dimension from high to low are ambiguity, complexity, lack of information, and unpredictability; the medical response score is (39.91±2.50) the scores in each dimension, from high to low, are face response, avoidance response, and yield response. Pearson correlation analysis showed that the uncertainty of illness in rehabilitation patients with stroke hemiplegia was negatively correlated with facing coping in medical coping (r=-0.462,P＜0.05), and avoidance coping and yield coping were positively correlated (r=0.597, 0.653 , P<0.05); Logistics multiple linear regression analysis showed that face-to-face coping, avoidance coping, and yield coping in medical coping are all influencing factors of disease uncertainty in stroke patients with hemiplegia.Conclusion Patients with hemiplegia after stroke are at a moderate level of disease uncertainty, which is related to medical response. The various dimensions of medical response are factors influencing patients’ disease uncertainty. Nurses should take targeted nursing measures to reduce the patient’s level of disease uncertainty, thereby improving the level of medical response.

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更新日期/Last Update: 1900-01-01