摘要
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.关键词
卒中后失语/心理一致感/社会支持/自我效能/知觉压力/因素分析Key words
Post-stroke aphasia/Sense of coherence/Social support/Self-efficacy/Perceived stress/Factor analysis分类
医药卫生
