CAJ | 학술논문

目的：探讨初发脑梗死患者应对方式与情绪的相关性。方法对80例初发脑梗死患者应用简易应对方式问卷（SCSQ）、医院焦虑抑郁量表（HADS）、美国国立卫生院神经功能缺损评分（NIHSS）、自编患者一般资料调查表进行评估。结果初发脑梗死患者应对方式中排在第1位的是积极应对条目“坚持自己的立场，为自己想得到的斗争”，排在第2位的则是消极应对条目“自己安慰自己”。焦虑发生率33．8％，抑郁发生率31．3％，积极应对与焦虑（rs ＝－0．293）和抑郁（rs ＝－0．486）均呈负相关（P ＜0．05），但消极应对与焦虑抑郁的相关性没有统计学意义。结论1／3的初发脑梗死患者存在焦虑抑郁情绪，医护人员若能尽早评估初发脑梗死患者的应对方式，鼓励患者采用积极应对方式，并合理利用消极应对方式的缓冲作用，将有利于促进患者的精神健康。
목적：탐토초발뇌경사환자응대방식여정서적상관성。방법대80례초발뇌경사환자응용간역응대방식문권（SCSQ）、의원초필억욱량표（HADS）、미국국립위생원신경공능결손평분（NIHSS）、자편환자일반자료조사표진행평고。결과초발뇌경사환자응대방식중배재제1위적시적겁응대조목“견지자기적립장，위자기상득도적두쟁”，배재제2위적칙시소겁응대조목“자기안위자기”。초필발생솔33．8％，억욱발생솔31．3％，적겁응대여초필（rs ＝－0．293）화억욱（rs ＝－0．486）균정부상관（P ＜0．05），단소겁응대여초필억욱적상관성몰유통계학의의。결론1／3적초발뇌경사환자존재초필억욱정서，의호인원약능진조평고초발뇌경사환자적응대방식，고려환자채용적겁응대방식，병합리이용소겁응대방식적완충작용，장유리우촉진환자적정신건강。
Objective To explore the relationship between coping styles and mental health among patients with primary brain infarc-tion.Methods Eighty patients with primary brain infarction were assessed with Simplified Coping Style Questionnaire (SCSQ),Hospi-tal Anxiety and Depression Scale (HADS),National Institutes of Health Stroke Scale (NIHSS)and general information questionnaire. Results “Stand on my ground,and fight for what I want.”was the first positive item and “I comfort myself.”was the second item which belonged to the negative ones.The prevalence rates of anxiety and depression among patients were 33.8% and 31.3% respec-tively.Positive coping style was negatively correlated with the score of anxiety (rs = -0.293,P <0.05 )and depression (rs =-0.486,P <0.05).And there was no statistical significance between negative coping styles and anxiety and depression.Conclusions A third of the patients with primary brain infarction are in anxiety and depression mood.It will promote mental health of the patients with primary brain infarction if medical staff can assess coping styles of patients as early as possible and encourage the patients to use positive coping style.