摘要
目的：探讨照顾者反应对脑梗死康复治疗患者疾病应对方式的影响。方法采用中文版照顾者反应评估量表和中文版医学应对方式问卷对352例脑梗死康复治疗患者及其主要照顾者进行问卷调查，采用Pearson相关分析法和多元回归分析法探讨照顾者反应对脑梗死康复治疗患者疾病应对方式的影响。结果照顾者反应得分：健康问题（2.80±0.61）分、时间安排受打扰（3.51±0.82）分、经济问题（3.19±0.63）分、家庭支持缺乏（2.61±0.51）分和自尊（4.08±0.90）分。疾病应对方式得分：面对（17.85±1.64）分，屈服（9.61±1.34）分，回避（17.10±1.74）分。Pearson相关分析显示，脑梗死康复治疗患者面对评分与照顾者反应中的健康问题、时间安排受打扰、经济问题、家庭支持缺乏均呈负相关（P〈0.05），与自尊呈正相关（P〈0.05）；屈服和回避评分均与健康问题、时间安排受打扰、经济问题、家庭支持缺乏均呈正相关（P〈0.05），与自尊呈负相关（P〈0.05）。不同患者性别、年龄、文化程度、婚姻状况、家庭收入、付款方式、病程、美国国立卫生研究院卒中评分（NIHSS）、发作次数，主要照顾者不同性别、年龄和与患者关系中面对、回避和屈服评分比较，差异均有统计学意义（P〈0.05）；多元回归分析显示，家庭收入、病程、NIHSS和照顾者反应均是脑梗死康复治疗患者疾病应对方式的影响因素（P〈0.05）。结论照顾者反应是脑梗死康复治疗患者疾病应对方式的影响因素。
Objective To explore the effect of caregiver reaction on coping styles in cerebral infarction patients with the treatment of rehabilitation. Methods A total of 352 patients with cerebral infarction and their caregiver were valued by the Chinese version caregiver reaction assessment scale and Chinese version medical coping questionnaire. Pearson correlation analysis and multiple linear regression analysis were used to explore the effect of caregiver reaction on coping styles in patients with cerebral infarction. Results The scores of health problems, time arrangements disturbed, economic problems and lack of family support and self-esteem were respectively （2. 80 ± 0. 61）, （3. 51 ± 0. 82）, （3. 19 ± 0. 63）, （2. 61 ± 0. 51） and （4. 08 ± 0. 90）. For the coping styles, the scores of confrontation, surrender and avoidance were respectively （17. 85 ± 1. 64）, （9. 61 ± 1. 34） and （17. 10 ± 1. 74）. Pearson correlation analysis showed that the score of confrontation was significantly negatively correlated with health problems, time arrangements disturbed, economic problems and lack of family support （P〈0. 05）, but significantly positive correlated with self-esteem （P 〈0. 05）; and the scores of surrender and avoidance were significantly positive correlated with health problems, time arrangements disturbed, economic problems and lack of family support （P 〈0. 05）, but it negatively correlated with self-esteem （P〈0. 05）. There were significant difference of the score of confrontation, surrender, avoidance in the patients with different sex, age, educational level, marital status, family income, payment method, course of disease, NIHSS, frequency of attack and the the main caregivers with different sex, age and relationships with patients （P〈0. 05）. Multiple linear regression analysis showed that family income, course of disease, NIHSS and caregiver reaction were the influence factors of coping styles in patients with cerebral infarction （P〈0. 05）. Conclusions The caregiver reaction is an important influence factor of coping styles in patients with cerebral infarction.
出处
《中华现代护理杂志》
2015年第24期2888-2892,共5页
Chinese Journal of Modern Nursing
关键词
脑梗死
康复
照顾者反应
疾病应对方式
Cerebral infarction
Rehabilitation
Caregiver reaction
Disease coping styles
