中青年脑卒中患者与配偶二元应对水平及影响因素分析

doi:10.12183/j.scjpm.2023.0970

摘要/Abstract

摘要： 目的调查分析中青年脑卒中患者与配偶二元应对的水平及影响因素。方法选取2020年12月至2021年12月张家口市2家三级甲等医院接受治疗的800例中青年脑卒中患者及其配偶资料进行横断面研究。设计一般资料问卷,收集患者及配偶的一般资料;采用二元应对量表对脑卒中患者与配偶的应对策略进行评估。采用多重线性回归模型分析中青年脑卒中患者与配偶二元应对水平的影响因素。结果中青年脑卒中患者与配偶的二元应对总分分别为（122.34±18.53）分、（122.21±19.05）分,均处于正常水平。患者和配偶的压力沟通、代办支持应对得分分别比较,差异均有统计学意义（均P<0.01）。多重线性回归分析显示,人均月收入、文化程度、与子女同住、抑郁、婚史、肢体功能障碍、合并症数量、病程为中青年脑卒中患者二元应对的影响因素（均P<0.01）;人均月收入、文化程度、与子女同住、抑郁、患者病程为中青年脑卒中患者配偶二元应对的影响因素（均P<0.01）。结论中青年脑卒中患者与配偶二元应对水平正常,受人均月收入、文化程度、与子女同住、抑郁、患者病程等因素影响。

关键词: 脑卒中, 配偶, 二元应对, 影响因素

Abstract: Objective To investigate and analyze the level and influencing factors of dyadic coping in young and middle-aged stroke patients and their spouses. Methods A cross-sectional study was conducted on 800 young and middle-aged stroke patients who received treatment in 2 tertiary level A hospitals from December 2020 to December 2021 and their spouses. The general data questionnaire was designed to collect general information of patients and their spouses. A dyadic coping inventory was used to evaluate the coping strategies of stroke patients and their spouses. Multiple linear regression analysis method was used to analyze the influencing factors of dyadic coping of young and middle-aged stroke patients and their spouses. Results The total scores of dyadic coping of young and middle-aged stroke patients and their spouses were （122.34±18.53） points and （122.21±19.05） points, respectively, which were at the normal level. The scores of stress communication and agent support coping between patients and spouses were statistically significant （both P<0.01）. Multiple linear regression analysis showed that per capita monthly income, educational level, living with children, depression, marriage history, patient's limb dysfunction, number of comorbidities, and course of disease were the factors affecting the dyadic coping of young and middle-aged stroke patients （all P<0.01）; per capita monthly income, educational level, living with children, depression, and patient's course of disease were the factors affecting the dyadic coping of spouses （all P<0.01）. Conclusion The level of dyadic coping of young and middle-aged stroke patients and their spouses is normal, which is affected by such factors as per capita monthly income, educational level, living with children, depression, and so on.

Key words: Stroke, Spouse, Dyadic coping, Influencing factor

中图分类号:

R743.3

李娇, 李玉洁, 杜昭延, 李晓明. 中青年脑卒中患者与配偶二元应对水平及影响因素分析[J]. 华南预防医学, 2023, 49(8): 970-975.

LI Jiao, LI Yujie, DU Zhaoyan, LI Xiaoming. Dyadic coping level and its influencing factors of young and middle-aged stroke patients and their spouses[J]. South China Journal of Preventive Medicine, 2023, 49(8): 970-975.

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