脑卒中恢复期患者自我隐瞒现状及其影响因素分析-现代医学

脑卒中恢复期患者自我隐瞒现状及其影响因素分析

单位：武汉市中心医院神经内科, 湖北武汉 430014

分类号：R248.1

出版年·卷·期（页码）：2021·49·第十二期（1398-1402）

摘要：

目的： 分析脑卒中恢复期患者自我隐瞒现状及其影响因素。方法： 采用一般资料调查表、自我隐瞒量表（SCS）、医学应对问卷（MCMQ）和社会支持评定量表（SSRS）对296例脑卒中恢复期患者进行分析。结果： 脑卒中恢复期患者自我隐瞒总分平均值为（39.04±5.51）分；多元线性回归显示，家庭人均月收入、自理能力、面对应对、社会支持总分是自我隐瞒的主要影响因素；自我隐瞒与面对应对及社会支持呈正相关，可解释总变异51.4%。结论： 脑卒中恢复期患者的自我隐瞒处于高水平。临床医护人员应引导患者采用面对应对，加强社会支持，以降低患者的自我隐瞒程度。

Objective: To investigate the status of self-concealment and its influencing factors of stroke patients in recovery period. Method: A total of 296 stroke patients in recovery period were investigated using the general information questionnaire, self-concealment scale(SCS), medical coping modes questionnaire(MCMQ), and social support rate scale(SSRS). Results: The average total score of self-concealment for stroke patients in recovery period was(39.04±5.51) points; Multiple linear regression showed that family monthly income per capita, self-care ability, face coping, and social support were the main influencing factors of self-concealment. Self-concealment was positively correlated with facing coping and social support, which could explain 51.4% of the total variation. Conclusions: The self-concealment of stroke patients in recovery period is at a high level. Clinical medical staff should guide patients to adopt face coping and strengthen social support to reduce patients' self-concealment.

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