| 摘要: |
| 目的：了解青年脑卒中患者急诊术后反刍 性沉思水平,探讨青年脑卒中患者反刍性沉思与应对方式的关系。方法：采用一般资料调查表、医学应对方式量表(MCMQ)和简体中文版事件相关反刍性沉思问卷(C-ERRI)对116例青年脑卒中患者进行调查分析。结果：青年脑卒中患者面对维度得分(16.04±4.17)分,低于常模,回避维度(17.12±3.86)分,高于常模,差异有统计学意义(均P<0.05)；屈服维度得分(9.97±3.54)分,与常模比较差异无统计学意义(P>0.05)；高目的性沉思组面对得分高于低目的性沉思组,回避和屈服得分低于低目的性沉思组(均P<0.05)；高侵入性沉思组面对得分低于低侵入性沉思组,回避和屈服得分高于低侵入性沉思组(均P<0.05)；目的性沉思与面对、回避应对呈显著正相关,侵入性沉思与屈服应对呈显著正相关(均P<0.05)。结论：青年脑卒中患者急诊术后更倾向于采取回避应对方式,对于回避应对方式应结合具体情况进行分析,并通过鼓励、减少侵入性反刍性沉思等方法引导患者由消极认知转向积极认知,积极面对疾病。 |
| 关键词: 脑卒中 青年 反刍性沉思 应对方式 |
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| Relationship between rumination level and coping style in young stroke patients after emergency surgery |
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1.Zhengzhou people'2.'3.s hospital;1.Zhengzhou people'2.'3.s hospital
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| Abstract: |
| Objective: To understand rumination level in young stroke patients after emergency surgery, and to explore relationship between rumination level and coping style. Methods: A total of 116 young stroke patients were investigated and analyzed by General Data Questionnaire, Medical Coping Modes Questionnaire (MCMQ) and Chinese Event Related Rumination Inventor (C-ERRI). Results: The score in facing dimension of young stroke patients [(16.04±4.17) points] was lower than the norm, while score in avoidance dimension [(17.12±3.86) points ]was higher than the norm (P<0.05). There was no significant difference between score in yielding dimension [(9.97± 3.54) points] and the norm (P>0.05). The facing score in high-purpose meditation group was higher than that in low-purpose meditation group, while scores of avoidance and yielding were lower than those in low-purpose meditation group (P<0.05). The facing score in high-invasive meditation group was lower than that in low-invasive meditation group, while scores of avoidance and yielding were higher than those in low-invasive meditation group (P<0.05). The purpose meditation was significantly positively correlated with facing and avoidance copying, while invasive meditation was significantly positively correlated with yielding copying (P<0.05). Conclusion: Young stroke patients are more inclined to adopt avoidance coping style after emergency surgery. For avoidance coping style, specific conditions should be combined with to conduct analysis. The patients should be guided from negative cognition to positive cognition by encouraging and reducing invasive rumination, and to actively face diseases. |
| Key words: Stroke Youth Rumination Coping style |
