缺血性脑卒中患者的疾病感知及相关因素分析

目的研究缺血性脑卒中患者的疾病感知特点。方法选择疾病感知问卷(IPQ-R)中文修订版(CIPQ-R)对首发缺血性脑卒中患者进行疾病感知评价,选择美国国立卫生研究院卒中量表(NIHSS)对患者的神经功能进行评估,选择社会支持量表(SSRS)和简易应对方式量表(SCSQ)对患者的社会支持情况和应对方式进行评估,并对患者的疾病感知以及疾病感知与社会支持、应对方式和缺血性脑卒中引起的症状情况进行相关性分析。结果缺血性脑卒中患者CIPQ-R个人控制性因子、治疗控制性因子、情绪陈述因子分数偏高(21.50±2.86,18.62±2.35,17.65±5.55)。Pearson偏相关分析显示疾病急慢性因子与疾病同一性因子、严重后果因子、情绪陈述因子、个人控制性因子和治疗控制性因子显著相关(r=0.322,0.390,0.305,-0.307,-0.410,P<0.05),情绪陈述因子与严重后果因子、个人控制性因子、治疗控制性因子和疾病相关性因子显著相关(r=0.335,-0.283,-0.268,-0.263,P<0.05);缺血性脑卒中患者的疾病感知与卒中的症状、社会支持和应对方式显著相关(r=-0.341,0.261,0.313,P<0.05)。结论缺血性脑卒中患者具有一定的负性疾病感知,加上受疾病症状、社会支持和应对方式等的影响,许多患者会处于不良的心理应激状态,从而可能会对患者疾病的恢复和预后造成较大的影响。

Analysis of Hlness perceptions and related factors in patients with isehemic stroke

Objective To study the illness perception features in patients with ischemic stroke. Methods Select the CIPQ-R to evaluate the patients＇ disease perceptions with first ischemic stroke, select NIHSS to assess the patients＇ neurological function, select Social Support Scale （SSRS） and Simplified Coping Style Questionnaire （SCSQ） to evaluate the social support and coping style of patients. Finally, Pearson correlation analysis was used for correlations among illness perception, social support, coping style and symptoms caused by ischemic stroke. Results Personal control dimension score, treatment control dimension score and emotional representation dimension score in patients with ischemic stroke were higher than that of other dimensions （21.50±2.86, 18.62±2.35, 17.65±5.55）. Pearson partial correlation analysis showed that timeline acute/chronic dimension was closely related to the identity dimension, consequences dimension, emotional representations dimension, personal control dimension and treatment control dimension （r=0.322, 0.390, 0.305, -0.307, -0.410, P〈0.05）, emotional representation dimension was closely related to the consequences dimension, personal control dimension, treatment control dimension and illness coherence dimension （r=0.335, -0.283, -0.268, -0.263, P〈0.05）. The patients＇ illness perception was significantly associated with symptoms caused by ischemic stroke, social support and coping style （r=-0.341, 0.261, 0.313, P〈0.05）. Conclusion The patients with ischemic strokenbsp;have a negative illness perception, coupled with the impact of the disease symptoms, social support and coping style. Many patients will be in a poor state of psychological stress, resulting a greater impact in the recovery and prognosis of the disease.