时新芳;董来宾;王珊珊;

• 1:郑州市第九人民医院

摘要(Abstract)：

目的观察老年脑梗死患者自我效能状况,并分析自我效能与创伤后成长(PTG)的关系,为提高脑梗死患者自我效能提供指导。方法选取2018-01—2020-03郑州市第九人民医院收治的83例老年脑梗死患者为研究对象,参照自我效能感量表(GSES)评估患者入院时自我效能状况并分组,采集并比较患者基线资料,采用PTG评定量表(PTGI)评估并分析患者PTG情况,分析PTG与老年脑梗死患者自我效能的关系。结果 83例老年脑梗死患者经GSES量表评估,35例自我效能感低水平,占42.17%,48例自我效能感中高水平,占57.83%;低水平组患者疾病感知(IP)较差率、自我感受负担量表(SPBS)评分均高于中高水平组,且PTGI评分低于中高水平组(P<0.05)。经单项Logistic回归分析后建立多元回归模型,结果显示IP差、SPBS评分高、PTGI评分低是老年脑梗死患者自我效能水平低下的影响因素(OR>1,P<0.05),其中PTGI评分低带来的影响最为显著(OR=4.265),可能作为独立危险因素。相关性检验显示,老年脑梗死患者自我效能(GSES评分)与PTG(PTGI评分)呈正相关(r>0,P<0.05)。结论老年脑梗死患者普遍存在PTG水平低下的情况,可能受患者的自我效能感水平影响,临床应重视对老年脑梗死患者PTG的干预,以提高患者的自我效能。

关键词(KeyWords)： 脑梗死;自我效能;创伤后成长;相关性分析

Abstract:

Keywords:

基金项目(Foundation): 河南省医学科技攻关计划联合共建项目(编号：LHGJ20200739)

作者(Author): 时新芳;董来宾;王珊珊;

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