Longitudinal study on psychological resilience trajectory of stroke patients and its influencing factors
10.3760/cma.j.cn115682-20210723-03265
- VernacularTitle:脑卒中患者心理弹性轨迹及影响因素的纵向研究
- Author:
Jianling WANG
1
;
Linlin SU
;
Yannan FAN
Author Information
1. 新乡医学院第一附属医院神经内科，新乡 453100
- Keywords:
Stroke;
Psychological resilience;
Trajectory;
Longitudinal studies
- From:
Chinese Journal of Modern Nursing
2022;28(7):905-909
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the psychological resilience trajectory of stroke patients and its influencing factors.Methods:From October 2018 to October 2020, convenience sampling was used to select 200 first-episode stroke patients admitted to the First Affiliated Hospital of Xinxiang Medical University as the research object. The General Information Questionnaire, Disease-related Information Questionnaire, and Connor-Davidson Resilience Scale (CD-RISC) were used to investigate the patients. A total of 200 questionnaires were distributed during hospitalization, and 200 valid questionnaires were recovered. After discharge, 7 patients were lost to follow-up at 1 month, 8 at 3 months, and 3 at 6 months. Finally, a total of 182 patients completed the study.Results:Finally, 4 types of trajectories of psychological resilience were obtained, namely, decreased psychological resilience, increased psychological resilience, stable psychological resilience, and decreased low level of psychological resilience. Logistic regression analysis showed that functional impairment, unattended care, religious belief, on-the-job work, living alone, and swallowing dysfunction were the influencing factors of the psychological resilience trajectory of stroke patients ( P<0.05) . Conclusions:Stroke patients can show different types of psychological resilience trajectories in the acute phase, recovery phase, and sequelae phase. Functional impairment, unattended care, religious belief, on-the-job work, living alone, and swallowing dysfunction are the influencing factors of the psychological resilience trajectory of stroke patients. In clinical practice, individualized intervention should be given according to the characteristics of different patients.
