CAJ | 학술논문

目的：探讨照顾者反应对基层医院脑梗死患者希望水平的影响,为从照顾者角度提高患者希望水平提供参考。方法采用中文版照顾者反应评估量表和Herth希望量表对391例脑梗死患者进行问卷调查,比较不同程度希望水平患者照顾者反应的差别,并采用Pearson相关分析法和分层回归分析法探讨照顾者反应对脑梗死患者希望水平的影响。结果脑梗死患者希望水平总分为(31.99±5.42)分,其中86例患者希望水平较低,247例患者希望水平中等,58例患者希望水平较高。不同程度希望水平组的健康问题、时间安排受打扰、经济问题、家庭支持缺乏和自尊评分比较,差异均有统计学意义(P<0.05)。希望水平与照顾者反应中的健康问题、时间安排受打扰、经济问题和家庭支持缺乏均呈显著负相关(P<0.05),与自尊呈正相关(P<0.05)。分层回归分析显示,照顾者反应中的时间安排受打扰、经济问题、家庭支持缺乏和健康问题均对脑梗死患者希望水平有负向预测作用。结论基层医院脑梗死患者希望水平处于中等水平,照顾者反应是其希望水平的影响因素,护理人员可从照顾者反应入手提高脑梗死患者的希望水平。
목적：탐토조고자반응대기층의원뇌경사환자희망수평적영향,위종조고자각도제고환자희망수평제공삼고。방법채용중문판조고자반응평고량표화Herth희망량표대391례뇌경사환자진행문권조사,비교불동정도희망수평환자조고자반응적차별,병채용Pearson상관분석법화분층회귀분석법탐토조고자반응대뇌경사환자희망수평적영향。결과뇌경사환자희망수평총분위(31.99±5.42)분,기중86례환자희망수평교저,247례환자희망수평중등,58례환자희망수평교고。불동정도희망수평조적건강문제、시간안배수타우、경제문제、가정지지결핍화자존평분비교,차이균유통계학의의(P<0.05)。희망수평여조고자반응중적건강문제、시간안배수타우、경제문제화가정지지결핍균정현저부상관(P<0.05),여자존정정상관(P<0.05)。분층회귀분석현시,조고자반응중적시간안배수타우、경제문제、가정지지결핍화건강문제균대뇌경사환자희망수평유부향예측작용。결론기층의원뇌경사환자희망수평처우중등수평,조고자반응시기희망수평적영향인소,호리인원가종조고자반응입수제고뇌경사환자적희망수평。
Objective To explore the effect of caregiver reaction on the hope level among cerebral infarction patients in primary hospitals. Methods A total of 391 cerebral infarction patients were questionnaired by the Chinese version caregiver reaction assessment scale and the Herth hope scale. The different score of caregiver reaction were compared between the different hope level groups, and the Pearson correlation analysis and hierarchical regression analysis were used to explore the effect of caregiver reaction on the hope level among cerebral infarction patients in primary hospitals. Results The total score of hope level in cerebral infarction patients was (31. 99 ± 5. 42), 21. 99% (86/391) of them in the low level, 63. 18% (247/391) of them in the medium level, and 14. 83% (58/391) of them in the high level. Pearson correlation analysis shew that the each factors of hope level was significantly positively correlated with the scores of health problems, time arrangements disturbed, economic problems and lack of family support in the caregiver reaction (P<0. 05), but significantly negative correlated with self-esteem ( P < 0. 05 ). Hierarchical regression analysis addressed that time arrangements disturbed, economic problems, lack of family support and health problems in the caregiver reaction had negative effect on hope level of patients. Conclusions The hope level in cerebral infarction patients is in the medium level, and caregiver reaction may be the important influencing factor of the hope level, so the nursing staff can start from the caregiver reaction to improve the level of hope in patients with cerebral infarction.