中年脑卒中病人益处发现现状及潜在剖面分析

    Current status and latent profile analysis of benefit finding in middle-aged patients with stroke

    • 摘要:
      目的: 调查中年脑卒中病人益处发现的现状,并分析其影响因素。
      方法: 采用便利抽样方法,选取230例中年脑卒中病人为调查对象,采用一般情况调查表、益处发现问卷、健康相关的认知评价量表、医学应对方式问卷和中国大五人格问卷对其进行调查,并分析中年脑卒中病人益处发现的影响因素。
      结果: 中年脑卒中病人益处发现特征可分为3个类别:分别命名为益处发现低分组(43例,18.70%)、益处发现中等组(90例,39.13%)和益处发现高分组(97例,42.17%)。多元logistic回归分析结果显示,配偶或子女陪护是中年脑卒中病人益处发现的保护因素(OR = 2.113 ~ 2.541,P < 0.05);正性评价是中年脑卒中病人益处发现的保护因素(OR = 1.112、1.240,P < 0.05);屈服应对是中年脑卒中病人益处发现的危险因素(OR = 0.853、0.898,P < 0.05);严谨性人格是中年脑卒中病人益处发现的保护因素(OR = 1.086、1.096,P < 0.05)。
      结论: 中年脑卒中病人益处发现存在明显的分类特征,临床护理人员应根据不同类型中年脑卒中病人的特征进行干预,以促其提升益处发现水平。

       

      Abstract:
      Objective To investigate the current status of benefit finding in middle-aged patients with stroke and analyze its influencing factors.
      Methods A total of 230 middle-aged patients with stroke were investigated by convenience sampling. They were investigated with General Condition Questionnaire, Benefit Finding Questionnaire, the Cognitive Appraisal of Health Scale, Medical Coping Modes Questionnaire and Chinese Big Five Personality Inventory brief version. The influencing factors of benefit finding in middle-aged patients with stroke were analyzed.
      Results The benefit finding characteristics of middle-aged stroke patients could be divided into three categories named as "low benefit finding group" (n = 43, 18.70%), "moderate benefit finding group" (n = 90, 39.13%) and "high benefit finding group" (n = 97, 42.17%). The results of multiple logistic regression analysis showed that the spousal or child care was the protective factor of benefit finding in middle-aged stroke patients (OR = 2.113-2.541, P < 0.05); Positive evaluation was the protective factor of benefit finding in middle-aged stroke patients (OR = 1.112 and 1.240, P < 0.05); Yielding coping was the risk factor of benefit finding in middle-aged stroke patients (OR = 0.853 and 0.898, P < 0.05); Rigorous personality was the protective factor of benefit finding in middle-aged stroke patients (OR = 1.086 and 1.096, P < 0.05).
      Conclusion There are obvious classification characteristics in benefit finding for middle-aged stroke patients. Clinical nurses should intervene according to the characteristics of different types of middle-aged stroke patients to help them actively cope with stroke, so as to improve their benefit finding.

       

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