[1]杨威,朱雪梅,沈晓颖,等.首发急性缺血性脑卒中患者就医决策延迟与希望水平、社会支持和应对方式的相关性[J].解放军护理杂志,2021,38(06):42-45.[doi:10.3969/j.issn.1008-9993.2021.06.011]
　YANG Wei,ZHU Xuemei,SHEN Xiaoying,et al.Correlation between Medical Decision-making Delay and Hope Level, Social Support and Coping Style in Patients with Primary Acute Ischemic Stroke[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(06):42-45.[doi:10.3969/j.issn.1008-9993.2021.06.011]
点击复制

首发急性缺血性脑卒中患者就医决策延迟与希望水平、社会支持和应对方式的相关性()
分享到：

《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年06期
页码:
42-45
栏目:
研究荟萃
出版日期:
2021-06-15

文章信息/Info

Title:
Correlation between Medical Decision-making Delay and Hope Level, Social Support and Coping Style in Patients with Primary Acute Ischemic Stroke
文章编号:
1008-9993(2021)06-0042-04
作者:
杨威1; 朱雪梅1; 沈晓颖1; 崔岩1; 杜欣1; 逄冬2
1.哈尔滨医科大学附属第二医院 临床护理教研室,黑龙江 哈尔滨 150036; 2. 哈尔滨医科大学附属第二医院 神经内科
Author(s):
YANG Wei1; ZHU Xuemei1; SHEN Xiaoying1; CUI Yan1; DU Xin1; PANG Dong2
1.Department of Nursing,Second Affiliated Hospital of Harbin Medical University,Harbin 150036,Heilongjiang Province,China; 2.Department of Neurology,Second Affiliated Hospital of Harbin Medical University
关键词:
首发急性缺血性脑卒中;  就医决策延迟;  希望水平;  应对方式;  社会支持;  中介效应
Keywords:
primary acute ischemic stroke;  medical decision-making delay;  level of hope;  coping style;  social support;  mediating effect
分类号:
R473.74
DOI:
10.3969/j.issn.1008-9993.2021.06.011
文献标志码:
A
摘要:
目的 了解首发急性缺血性脑卒中(acute ischemic stroke,AIS)患者的就医决策延迟现状,并探讨希望水平、社会支持和应对方式与首发AIS患者就医决策延迟的关系。方法 采用一般资料调查问卷、社会支持量表、Herth希望量表、简易应对方式问卷对首发AIS患者进行问卷调查,构建中介效应模型对四者间的关系进行分析。结果 共纳入243例患者,就医决策时间为(125.09±6.78)min。社会支持及各维度和希望水平及各维度及应对方式中积极应对与就医决策延迟时间呈负相关,消极应对与就医决策延迟时间正相关。社会支持和积极应对在希望水平和就医决策延迟时间上发挥部分中介效应,中介效应占总效应的91%。结论 临床护士及社区卫生保健人员应多关注脑卒中高危人群,积极为其争取来自家庭、社会的支持,指导其主动采取就医行为,切实缩短就医决策延迟时间。
Abstract:
Objective To investigate the status quo of medical decision-making delay in patients with primary acute ischemic stroke(AIS)and to explore its relationship with the level of hope,social support and coping style.Methods A survey was conducted with the general information questionnaire,social support scale, herth hope scale and simple coping style questionnaire.The mediating effect model were constructed to analyze the relationship between the four factors.Results A total of 243 patients were included,and the decision time for medical treatment was(125.09±6.78)minutes.There was a negative correlation between medical decision-making delay and social support, level of hope,as well as positive coping style.There was a positive correlation between medical decision-making delay and negative coping style.Social support and positive coping had partial mediating effect on the level of hope and the delay time of medical decision-making,and the mediating effect accounted for 91% of the total effect.Conclusions Clinical nurses and community healthcare personnel should pay more attention to the high-risk population of stroke, actively strive for the support from family and society,guide them to take the initiative to seek medical help,and effectively shorten the delay time of medical decision-making.

参考文献/References:

[1] BENJAMIN E J,MUNTNER P,ALONSO A,et al.Heart disease and stroke statistics—2019 update:a report from the American Heart Association[J].Circulation,2019,139(10):e56-e528.
[2] 《中国脑卒中防治报告》编写组.《中国脑卒中防治报告2019》概要[J].中国脑血管病杂志,2020,17(5): 272 -281.
[3] 杜兰芳,杨进刚,胡大一.急性心肌梗死患者延迟就诊的性别差异[J].心血管病学进展,2007,28(4):529-533.
[4] 佟秀霞,侯爱民,赵爱晶.老年急性缺血性脑卒中患者延迟就诊相关影响因素及预后分析[J].中国老年学杂志,2017,37(14):3458-2460.
[5] HALE E D,TREHARNE G J,KITAS G D.The Common-Sense Model of self-regulation of health and Illness:how canweuseit tounderstand and respond to our patients’needs?[J].Rheumatology(Oxford),2007,46(6):904-906.
[6] 张静.癌症化疗患者希望水平与应对方式、社会支持关系的研究[D].北京:中国协和医科大学,2006.
[7] 白井双.ACS患者决策延迟影响因素及与家庭功能、希望水平相关性研究[D].吉林:吉林大学,2015.
[8] 钱秀群,徐菊玲,钟兴明,等.急性冠状动脉综合征患者就医决策延迟现状及研究进展[J].中西医结合护理:中英文,2020,6(8):324-329.
[9] 方积乾,陆盈.现代医学统计学[M].北京:人民卫生出版社,2002:129.
[10]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,2(2):98-100.
[11]汪向东,王希林,马弘.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:142-149,220-223,375-378.
[12]解亚宁.简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志,1998,6(2):114-115.
[13]陈琳,王志强,肖莉,等.脑卒中相关症状与院前延迟的相关性研究[J].成都医学院学报,2018,13(4):439-444.
[14]韦乃柒,韦燕金.急性缺血性脑卒中患者院前延迟影响因素及护理对策[J].当代护士:中旬刊,2020,27(10):174-176.
[15]吴子敬,刘叶,李小寒.乳腺癌病人希望水平对心理韧性的影响及应对方式的中介作用[J].护理研究,2018,32(7):1038-1041.
[16]盛月红,陆晟,曹鑫坤.肝癌初诊手术患者的希望水平及其与社会支持、应对方式的相关性[J].解放军护理杂志,2020,37(1):10-13.
[17]张琳,张奕琳,张倩倩,等.年轻血液透析患者希望水平与生活质量的相关性[J].广东医学,2015,36(23):3671-3673.
[18]MAHLMANN L,GERBER M,FURLANO R I,et al.Psychological wellbeing and physical activity in children and adolescents with inflammatory bowel disease compared to healthy controls[J/OL].[2021-01-05].https://bmcgastroenterol.biomedcentral.com/articles/10.1186/s12876-017-0721-7.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-02-18 【 修回日期 】 2021-05-12
【 作者简介 】 杨威,硕士在读,护师,从事慢性病护理研究
【 通信作者 】 朱雪梅,电话:0451-86005473
更新日期/Last Update: 2021-06-15