CAJ | 학술논문

目的：调查首发脑卒中患者出院后一周的心理健康状况和社会参与水平，并探讨两者的相关性。方法：采用医院焦虑和抑郁量表（HADS）和自主参与问卷（IPA）对271位首发脑卒中患者进行调查。结果：首发脑卒中患者出院后一周的社会参与总分为(61.14±13.44)分；各条目均分为（2.45±0.54)分。研究对象的焦虑得分为(8.43±4.88)分，阴性为152例，阳性为119例（43.9%）；抑郁得分为（8.48±4.79)分，阴性为145例，阳性为126例（46.5%）。研究对象的心理状况得分与社会参与得分成正相关（P<0.01）。结论：心理状况和社会参与密切相关，在康复护理中应关注患者的心理状况，缓解其负性情绪，以改善其社会参与障碍。
목적：조사수발뇌졸중환자출원후일주적심리건강상황화사회삼여수평，병탐토량자적상관성。방법：채용의원초필화억욱량표（HADS）화자주삼여문권（IPA）대271위수발뇌졸중환자진행조사。결과：수발뇌졸중환자출원후일주적사회삼여총분위(61.14±13.44)분；각조목균분위（2.45±0.54)분。연구대상적초필득분위(8.43±4.88)분，음성위152례，양성위119례（43.9%）；억욱득분위（8.48±4.79)분，음성위145례，양성위126례（46.5%）。연구대상적심리상황득분여사회삼여득분성정상관（P<0.01）。결론：심리상황화사회삼여밀절상관，재강복호리중응관주환자적심리상황，완해기부성정서，이개선기사회삼여장애。
Objective: to study mental health status and social participation among ifrst-stroke patients discharged from hospital 1 week later, and to analyze their correlation. Methods: Totally 271 first-stroke patients who were discharged from hospital 1 week later were investigated with HADS and IPA. Results: When discharged from hospital 1 week later, IPA score of ifrst-stroke patients was 61.14±13.44, the average score of each item was 2.45±0.54. The score of HAD-A was 8.43±4.88, and the incidence of anxiety was 43.9%. The score of HAD-D was 8.48±4.79, and the incidence of anxiety was 46.5%. HAD score and IPA score were positive correlation (P<0.01). Conclusion: Social participation and mental health status are closely related. Nursing managers should pay attention to patients' mental health, ease the negative emotion, and improve the social participation.