CAJ | 학술논문

目的：了解脑梗死患者残障接受度与人格特质现状,并分析两者的相关性,为改善患者残障接受度提供参考。方法采用残障接受度量表和艾森克人格问卷简式量表( EPQ-RSC)对205例脑梗死患者进行问卷调查,将脑梗死患者人格特质与中国常模进行比较,并采用Pearson相关分析和分层回归分析探讨人格特质对脑梗死患者残障接受度的影响因素。结果脑梗死患者残障接受度总分为(128.08±28.89)分,其中低接受度占57.07%(117/205),中接受度占27.80%(57/205),高接受度占15.13%(31/205)。脑梗死患者精神质、内外向、神经质、掩饰性评分与中国常模比较,差异有统计学意义(t值分别为4.143,-9.552,12.622,6.604；P<0.01)。残障接受度总分及各维度得分与人格特质中的精神质、神经质和掩饰性呈负相关,与内外向呈正相关(r=-0.436~0.025；P<0.05)。分层回归分析结果显示,人格特质中的掩饰性、内外向和神经质可联合解释脑梗死患者残障接受度总变异的30.50%。结论脑梗死患者残障接受度处于较低水平,人格特质为其影响因素,护士可从人格特质入手对其进行护理干预来改善残障接受度。
목적：료해뇌경사환자잔장접수도여인격특질현상,병분석량자적상관성,위개선환자잔장접수도제공삼고。방법채용잔장접수도량표화애삼극인격문권간식량표( EPQ-RSC)대205례뇌경사환자진행문권조사,장뇌경사환자인격특질여중국상모진행비교,병채용Pearson상관분석화분층회귀분석탐토인격특질대뇌경사환자잔장접수도적영향인소。결과뇌경사환자잔장접수도총분위(128.08±28.89)분,기중저접수도점57.07%(117/205),중접수도점27.80%(57/205),고접수도점15.13%(31/205)。뇌경사환자정신질、내외향、신경질、엄식성평분여중국상모비교,차이유통계학의의(t치분별위4.143,-9.552,12.622,6.604；P<0.01)。잔장접수도총분급각유도득분여인격특질중적정신질、신경질화엄식성정부상관,여내외향정정상관(r=-0.436~0.025；P<0.05)。분층회귀분석결과현시,인격특질중적엄식성、내외향화신경질가연합해석뇌경사환자잔장접수도총변이적30.50%。결론뇌경사환자잔장접수도처우교저수평,인격특질위기영향인소,호사가종인격특질입수대기진행호리간예래개선잔장접수도。
Objective To investigate the correlation between disability acceptance and personality trait in patients with cerebral infarction, so as to provide a new perspective to improve the disability acceptance. Methods A total of 205 patients with cerebral infarction were investigated by the Acceptance of Disability Scale and the Eysenck Personality Questionnaire-revised-Short Scale for Chinese( EPQ-RSC) . The level of personality trait in patients was compared with the norm, and the Pearson correlation analysis and hierarchical regression analysis were used to explore the effect of personality trait on the disability acceptance. Results The total score of disability acceptance was (128. 08 ± 28. 89) in patients, and 57. 07% of them (117/205) were in the low level, 27. 80% of them (57/205) were in the medium level, 15. 13% of them (31/205) were in the high level. The level of neuroticism, psychoticism and lie in personality trait were significantly higher than those of the norm (t=4. 143,12. 622, 6. 604, respectively;P<0. 01). The level of introvert or extrovert character in personality trait was significantly lower than that in the normal population (t= -9. 552,P<0. 01). Pearson correlation analysis showed that each factor of disability acceptance was significantly negatively correlated with the scores of neuroticism, psychoticism and dissimulation in personality trait (r= -0. 436 0. 025,P<0. 05), but significantly positively correlated with the score of introvert or extrovert character in personality trait ( P<0. 05). Hierarchical regression analysis showed that dissimulation, introvert or extrovert character and neuroticism in personality trait could explained 30. 50% of the total variance of disability acceptance in patients with cerebral infarction (P <0. 05). Conclusions The level of disability acceptance is in the low level in cerebral infarction patients, and personality trait is the influencing factor. Nursing staff can start from the personality trait to improve the level of disability acceptance in cerebral infarction patients.