缺血性脑卒中患者残障接受度现状及影响因素的研究

摘要

目的：调查缺血性脑卒中（cerebral ischemic stroke，CIS）患者的残障接受度现状，并分析其影响因素。方法采用CIS患者临床基本资料调查表和残障接受度量表对234例CIS患者进行问卷调查。结果 CIS患者残障接受度总分为（128.56±28.77）分，其中低接受度占55.98%，中接受度占28.63%，高接受度占15.38%。改良Barthel指数得分、Fugl-Meyer运动功能得分、发作次数、病程、医保类型进入回归方程，共解释CIS患者残障接受度总变异的38.7%。结论 CIS患者残障接受度处于较低水平，残疾程度、发作次数、病程和医保类型是CIS患者残障接受度的影响因素，应采用针对性的干预措施来改善CIS患者残障接受度。%Objective To investigate the present situation and influencing factors of acceptance of disability in patients with cerebral ischemic stroke(CIS). Methods Totally 234 CIS patients were investigated with the basic information questionnaire and the Acceptance of Disability Scale. Results The total score of acceptance of disability was(128.56±28.77) in CIS patients; 55.98%,28.63% and 15.38% were in the low,moderate and high level,respectively. Multiple regression analysis showed that the score of modified Barthel index(MBI),the score of Fugl-Meyer assess-ment scale(FMA),episode frequency,course of disease and the type of medical insurance were influencing factors of acceptance of disability,which could explain 38.7% of the total variance. Conclusion The acceptance of disability is in low level in CIS patients,and is influenced by MBI score,FMA score,episode frequency,course of disease and the type of medical insurance. It is suggested to take actions to enhance patient's acceptance of disability.