脑出血患者病耻感与急性应激障碍相关性研究

目的 探讨脑出血患者病耻感现状及与急性应激障碍的相关性。方法 采用方便抽样法选取2018年10月到2019年6月在华北理工大学附属医院神经外科住院的253例脑出血患者进行研究。运用一般资料调查表、病耻感量表（SSCI）、斯坦福问卷（SARSQ）对脑出血患者进行调查。结果 脑出血患者病耻感得分为（80.76±8.361分）；相关性分析发现，病耻感与ASD总分及各维度得分成正相关性（P<0.001）；多元回归分析表明，性别、文化程度、居住地、合并功能障碍数、ASD及回避维度是病耻感的主要影响因素（P<0.05）。结论 脑出血患者病耻感较高，急性应激障碍对脑出血患者病耻感有影响，医护人员应及早预防ASD发生，避免加重患者病耻感。

Study on the correlation between stigma and acute stress disorder in patients with cerebral hemorrhage

To explore the status of stigma in patients with cerebral hemorrhage and its correlation with acute stress disorder. Methods 253 patients with cerebral hemorrhage admitted to the neurosurgery department of the affiliated hospital of north China university of science and technology from October 2018 to June 2019 were selected by convenient sampling method. Patients with cerebral hemorrhage were investigated by general information questionnaire，stigma scale ( SSCI) and Stanford questionnaire ( SARSQ) . Ｒesults The score of stigma was ( 80. 76 ± 8. 361) . The correlation analysis showed that stigma was positively correlated with ASD total score and all dimensions ( P ＜ 0. 001) . Multiple regression analysis showed that gender，education level，residence，number of co － functional disorders，ASD and avoidance dimension were the main influencing factors of stigma ( P ＜ 0. 05) . Conclusion Patients with intracerebral hemorrhage have a higher degree of stigma，and acute stress disorder has an effect on the stigma of patients with intracerebral hemorrhage. Medical staff should prevent the occurrence of ASD as early as possible to avoid aggravating the stigma of patients.