关键词: 脑卒中, 康复, 复原力, 影响因素

Abstract: Objective To investigate the current situation of resilience level of convalescent stroke patients and explore its influencing factors, so as to provide theoretical guidance for rehabilitation treatment and intervention to improve individual adaptability to adversity. Methods Stroke patients in convalescence who were diagnosed and treated and ready for discharged in a hospital in Chengdu from December 2019 to December 2020 were taken as the research object to investigate the status of resilience. Descriptive epidemiological analysis method was used to describe and analyze the resilience of convalescent stroke patients, and its influencing factors were analyzed by univariate and multivariate analysis. Results This study collected a total of 306 valid questionnaires for convalescent stroke patients. The patients were 18 to 85 years old, the ratio of male to female was 1.4∶1, and ischemic stroke accounted for 54.33%. The average score of resilience of stroke patients was （128.57±16.69） points, the average score of each item was （3.67 ± 0.81） points, the scoring rate was 73.47%, and the overall score was at a medium level. The results of multiple linear regression analysis showed that the higher the education level （β‘=0.025）, on-the-job （β’=0.084）, the higher the monthly household income （β‘=0.109）, the main caregivers were family members （β’= 0.101）, the higher the NIHSS score （β‘=0.249）, and the higher the Barthel index （β’=0.291）, the higher the resilience score of convalescent stroke patients may be. Conclusion Resilience of convalescent stroke patients is general, and there are many factors affecting it. Medical staff should pay attention to the individual situation of stroke patients to formulate a rehabilitation plan, enhance the adversity adaptability and psychological resilience of patients, and help patients recover actively to adapt to the new living state.

Key words: Stroke, Recovery, Resilience, Influencing factor