应对方式对脑卒中患者自我概念的影响研究

目的探讨脑卒中患者应对方式和自我概念的关系,为临床心理干预提供依据。方法对100例脑卒中患者和100例健康者采用应对方式问卷（CSQ）和田纳西自我概念量表（TSCS）进行调查,结果输入SPSS统计软件进行比较分析。结果脑卒中患者CSQ中的积极应对分明显低于健康者,而消极应对得分明显高于健康者,差异有统计学意义（P〈0.01）。脑卒中患者TSCS中的自我批评因子分明显高于健康者,而生理自我、心理自我、社会自我、家庭自我、自我认同、自我行动、自我满意等因子分明显低于健康者（P〈0.01）。应对方式与自我概念具有相关性。结论脑卒中患者应对方式及自我概念水平较差,应对方式影响自我概念,临床医护工作者应关注脑卒中患者的应对方式和自我概念状况,并相应地实施针对性、有效性的干预方案,以便更好地促进患者的身心康复。

Influence study of coping style on self-concept in stroke patients

Objective To investigate the relationship between the coping styles and their self-concept in stroke patients,thus to provide evidence for clinical psychological intervention.Methods 100 cases of stroke patients and 100 healthy people were investigated by coping style questionnaire(CSQ) and Tennessee self concept scale(TSCS),and the results were analyzed by SPSS.Results Stroke patients scored significantly lower in positive coping items in CSQ and significantly higher in negative coping items than the healthy subjects(P < 0.01).Stroke patients scored significantly higher in self-criticism factor in TSCS than the healthy subjects,while their physical self,mental self,social self,family self,self-identity,self-action and self-satisfaction scores were significant lower than those of the healthy subjects(P < 0.01).Coping styles and self-concept were correlated.Conclusion Stroke patients have negative coping style and poor self-concept level and the two factors are correlated.Clinical health care workers should be concerned about stroke patients’ coping styles and self-concept status and implement targeted and effective intervention programs,in order to better promote the patients’ physical and mental rehabilitation.