临床与病理杂志2024，Vol.44Issue(2)：268-277,10.DOI:10.11817/j.issn.2095-6959.2024.230416
首发脑梗死患者创伤后成长现状及其与恐惧疾病进展、家庭功能的相关性
Status of post-traumatic growth in patients with first-episode cerebral infarction and its correlation with fear of disease progression and family functioning
摘要
Abstract
Objective:Post-traumatic growth can significantly enhance the quality of life for stroke patients and improve their disease rehabilitation outcomes.The fear of disease progression and family functioning can affect the physical and psychological health of stroke patients and are related to their level of post-traumatic growth.This study aims to investigate the status of post-traumatic growth among patients with first-episode cerebral infarction and its correlation with the fear of disease progression and family functioning,to provide ideas for nursing staff to develop effective positive psychological care programs. Methods:A total of 313 patients with first-episode cerebral infarction who were treated in the Department of Neurology of 4 tertiary-level hospitals in Chengdu from January 2023 to July 2023 were selected as study subjects.A general information questionnaire,a Simplified Scale of Fear of Disease Progression,a family care index questionnaire,and a Simplified Chinese Version of the Post-Traumatic Growth Assessment Scale were used for the survey.The correlations between post-traumatic growth,fear of disease progression,and family functioning were analyzed. Results:The scores for fear of disease progression among patients with first-episode cerebral infarction were 32.04±7.40,and the family functioning scores were 6.06±2.13,with the post-traumatic growth scores at 52.27±11.57,all of which were at a moderate level.The total score of post-traumatic growth was negatively correlated with all dimensions and the total score of fear of disease progression(all P<0.01),and positively correlated with all dimensions and the total score of family functioning(all P<0.01).Multivariate linear regression analysis showed that occupational status,personality,duration of illness,number of other chronic diseases,fear of disease progression,and family functioning were independent factors affecting post-traumatic growth(all P<0.05). Conclusion:The post-traumatic growth of patients with first-episode cerebral infarction is at a moderate level.Their post-traumatic growth is negatively correlated with fear of disease progression and positively correlated with family functioning.Nursing staff can improve the level of post-traumatic growth in patients with first-episode cerebral infarction by decreasing their fear of disease progression and improving their family functioning status,thereby promoting their physical and psychological health and enhancing their quality of life.关键词
脑梗死/创伤后成长/恐惧疾病进展/家庭功能/相关性研究Key words
cerebral infarction/post-traumatic growth/fear of disease progression/family functioning/correlation research引用本文复制引用
郑佳,杨惠,杨婷,温馨,严宇璐,谢松霖,杨翔..首发脑梗死患者创伤后成长现状及其与恐惧疾病进展、家庭功能的相关性[J].临床与病理杂志,2024,44(2):268-277,10.基金项目
自贡市哲学社会科学重点研究基地健康人文研究中心科研资助项目(JKRWZ22-04).This work was supported by the Project for the Health Humanities Research Center of the Key Research Base of Philosophy and Social Sciences in Zigong City,China(JKRWZ22-04). （JKRWZ22-04）
