Zhongguo cuzhong zazhi (Mar 2024)
卒中后失语患者心理一致感评价和影响因素分析 Evaluation and Influencing Factors of Sense of Coherence in Post-Stroke Aphasia Patients
Abstract
目的 评价卒中后失语患者心理一致感，分析影响卒中后失语患者心理一致感的因素。 方法 本研究为前瞻性观察性研究。连续招募2018年12月—2022年12月首都医科大学附属北京天坛医院收治的144例卒中后失语患者，采用一般资料调查问卷收集患者的临床资料，采用中国康复研究中心汉语标准失语症检查法（China rehabilitation research center aphasia examination，CRRCAE）评估失语程度，采用中文版心理一致感量表（sense of coherence-13 scale，SOC-13）、社会支持量表（social support scale，SSRS）、一般自我效能感量表（general self-efficacy scale，GSES）、中文版知觉压力量表（Chinese-version perceived stress scale，CPSS）评估患者的心理一致感、社会支持、自我效能和知觉压力。分析中文版SOC-13总分与SSRS、GSES、CPSS总分的相关性。使用多重线性回归分析影响卒中后失语患者心理一致感水平的因素。 结果 卒中后失语患者中文版SOC-13总分为（57.96±12.11）分，心理一致感处于低水平。卒中后失语患者中文版SOC-13总分与SSRS总分（r=0.592，P＜0.05）、GSES总分（r=0.470，P＜0.05）呈正相关，与CPSS总分呈负相关（r=-0.410，P＜0.05）。多重线性回归分析显示，抑郁（β=1.006，P=0.001）、日常生活能力（β=1.124，P=0.003）、CRRCAE评分（β=1.325，P＜0.001）、SSRS总分（β=1.123，P=0.009）、GSES总分（β=0.341，P=0.015）、CPSS总分（β=-0.402，P=0.023）是卒中后失语患者低中文版SOC-13总分的影响因素。 结论 卒中后失语患者心理一致感水平偏低。抑郁、日常生活能力、失语程度、社会支持、自我效能、知觉压力是患者心理一致感水平的影响因素。 Abstract: Objective To evaluate the sense of coherence of post-stroke aphasia patients, and analyze the factors affecting the sense of coherence of post-stroke aphasia patients. Methods This is a prospective observational study. A total of 144 patients with post-stroke aphasia admitted to Beijing Tiantan Hospital, Capital Medical University from December 2018 to December 2022 were continuously recruited. Clinical data of patients were collected by general data questionnaire. The degree of aphasia was evaluated using the China rehabilitation research center aphasia examination (CRRCAE). The Chinese version of the sense of coherence-13 scale (SOC-13), the social support scale (SSRS), the general self-efficacy scale (GSES) and the Chinese-version perceived stress scale (CPSS) were used to evaluate the patients’ sense of coherence, social support, self-efficacy and perceived stress. The correlation between total score of Chinese version of SOC-13 and total score of SSRS, GSES and CPSS was analyzed. Multiple linear regression was used to analyze the factors affecting the level of sense of coherence in post-stroke aphasia patients. Results The total score of Chinese version of SOC-13 in post-stroke aphasia patients was 57.96±12.11, and the sense of coherence was at a low level. The total score of Chinese version of SOC-13 was positively correlated with the score of SSRS (r=0.592, P<0.05) and GSES (r=0.470, P<0.05), and negatively correlated with the total score of CPSS (r=-0.410, P<0.05). Multiple linear regression analysis showed that depression (β=1.006, P=0.001), ability of daily living (β=1.124, P=0.003), CRRCAE score (β=1.325, P<0.001), SSRS score (β=1.123, P=0.009), GSES score (β=0.341, P=0.015) and CPSS score (β=-0.402, P=0.023) were the influencing factors of low Chinese version of SOC-13 score in post-stroke aphasia patients. Conclusions The level of sense of coherence is low in post-stroke aphasia patients. Depression, ability of daily living, degree of aphasia, social support, self-efficacy and perceived stress are the factors that affect the level of sense of coherence.
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