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脑卒中恢复期患者自我隐瞒现状及其影响因素分析
作者:李蒙  张力  彭夏培  李娜  张玲 
单位:武汉市中心医院 神经内科, 湖北 武汉 430014
关键词:脑卒中 自我隐瞒 医学应对 社会支持 影响因素 
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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