方少琴, 姚美蓉, 钱坤. 脑卒中病人残疾接受度与医疗社会支持的相关性研究[J]. 蚌埠医科大学学报, 2023, 48(8): 1135-1138. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.026
    引用本文: 方少琴, 姚美蓉, 钱坤. 脑卒中病人残疾接受度与医疗社会支持的相关性研究[J]. 蚌埠医科大学学报, 2023, 48(8): 1135-1138. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.026
    FANG Shao-qin, YAO Mei-rong, QIAN Kun. Relationship between acceptance of disability and medical social support in stroke patients[J]. Journal of Bengbu Medical University, 2023, 48(8): 1135-1138. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.026
    Citation: FANG Shao-qin, YAO Mei-rong, QIAN Kun. Relationship between acceptance of disability and medical social support in stroke patients[J]. Journal of Bengbu Medical University, 2023, 48(8): 1135-1138. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.026

    脑卒中病人残疾接受度与医疗社会支持的相关性研究

    Relationship between acceptance of disability and medical social support in stroke patients

    • 摘要:
      目的调查脑卒中病人残疾接受度现状并分析其与医疗社会支持的相关性。
      方法采用方便抽样法, 选取脑卒中病人为调查对象, 采用病人一般情况调查表、残疾接受度量表和医疗社会支持量表进行调查; 并对残疾接受度与医疗社会支持的相关性进行分析。
      结果脑卒中住院病人的残疾接受度的总体得分为(79.60±10.66)分, 处于中等接受水平, 各维度标准化评分后, 扩大维度66.53分、转变维度61.36分、包容维度59.50分、从属维度51.10分。性别、年龄、职业状态、家庭月收入、是否需要照顾者及是否存在后遗症这些因素对脑卒中病人残疾接受度具有影响(P < 0.05~P < 0.01)。相关性分析结果显示, 残疾接受度总分及扩大、包容和转变维度得分与医疗社会支持总分及实际性支持、讯息与情绪性支持、社会互动性支持、情感性支持4个维度呈正相关关系(P < 0.05~P < 0.01);残疾接受度中从属维度与医疗社会支持总分及实际性支持、讯息与情绪性支持、社会互动性支持、情感性支持4个维度呈负相关关系(P < 0.05)。
      结论以脑卒中病人对身体残疾的低接纳为切入点, 给予全方位的社会支持和针对性干预, 可提升其残疾接受水平。

       

      Abstract:
      ObjectiveTo investigate the status of acceptance of disability and analyze the relationship between acceptance of disability and medical social support in stroke patients.
      MethodsThe convenient sampling method was used to investigate stroke patients hospitalized.The general condition questionnaire, acceptance of disability scale-revised (ADS-R) and medical outcomes social support survey were used, and the correlation between disability acceptance and medical social support was analyzed.
      ResultsThe total ADS-R score of stroke inpatients was (79.60±10.66) points, which was at the medium level.After standardized scoring, the score of expanded dimension was 66.53 points, the score of transformation dimension was 61.36 points, the score of inclusive dimension was 59.50 points, and the score of subordinate dimension was 51.10 points.Gender, age, occupation status, monthly family income, whether the need for care and the sequelae had significant effects on acceptance of disability in stroke patients (P < 0.05 to P < 0.01).The correlation analysis results showed that the total score of disability acceptance and the scores of expansion, inclusion, and transformation dimensions were positively correlated with the total score of medical social support and practical support, information and emotional support, social interactive support, and emotional support (P < 0.05 to P < 0.01).The subordinate dimension of ADS-R was negatively correlated with the total score of medical social support and practical support, information and emotional support, social interactive support and emotional support (P < 0.05).
      ConclusionsUsing the low acceptance of disability in stroke patients as an entry point, a full range of social support and targeted interventions can enhance their level of disability acceptance.

       

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