文章摘要
杨琳琳,张志强,谢军,唐海沁,谢蕾.脑梗死患者疾病感知及影响因素分析[J].中国临床保健杂志,2019,22(4):515-518.
脑梗死患者疾病感知及影响因素分析
Analysis of illness perceptions and related factors in patients with cerebral infarction
投稿时间:2018-07-10  
DOI:10.3969/J.issn.1672-6790.2019.04.022
中文关键词: 脑梗死  应激,生理学  C反应蛋白质  半胱氨酸
英文关键词: Brain infarction  Stress,physiological  C-reactive protein  Cysteine 〖FL
基金项目:安徽省2017年公益性技术应用研究联动计划项目(1704f0804042);安徽省合肥市二院院级科研项目(201820)
作者单位E-mail
杨琳琳 安徽合肥市第二人民医院全科医学科,230011 ahmuxj@sina.com 
张志强 安徽医科大学第二附属医院泌尿外科 ahmuxj@sina.com 
谢军 安徽合肥市第二人民医院全科医学科,230011 ahmuxj@sina.com 
唐海沁 安徽医科大学第一附属医院全科医学科 ahmuxj@sina.com 
谢蕾 安徽合肥市第二人民医院全科医学科,230011 ahmuxj@sina.com 
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中文摘要:
      目的 研究脑梗死患者的疾病感知特点。方法 利用疾病感知问卷修订版(IPQ-R)对60例脑梗死患者进行疾病感知评价,同时结合血清胱抑素C、同型半胱氨酸、超敏C反应蛋白等指标对其进行相关性分析。结果 脑梗死患者IPQ-R各因子之间Pearson偏相关分析显示病程(急慢性)因子与疾病一致性因子、个人控制因子、治疗控制因子、后果因子和情绪陈述因子显著相关(r为0.768、-0.605、-0.714、0.731、0.790,P均<0.05),情绪陈述因子与个人控制因子、治疗控制因子和后果因子显著相关(r为-0.708、-0.725、0.719,P均<0.05)。胱抑素C与病程(急慢性)因子、周期因子、后果因子、情绪陈述因子呈显著正相关(r为0.552、0.393、0.456、0.442,P均<0.05),与治疗控制因子、个人控制因子呈负相关(r为-0.285、-0.293,P均<0.05);社区综合管理患者在病程(急慢性)、周期因子、后果因子、疾病一致性因子和情绪陈述因子得分明显低于非社区综合管理患者[(2.48±0.47)分,(3.02±0.45)分;(2.78±0.39)分,(3.02±0.26)分;(3.08±0.41)分,(3.32±0.30)分;(3.30±0.55)分,(3.57±0.41)分;(2.42±0.42)分,2.68±0.36)分;P均<0.05];在治疗控制因子高于非社区综合管理患者[(3.69±0.29)分,(3.53±0.24)分,P均<0.05]。社区综合管理患者检测胱抑素C和同型半胱氨酸明显低于非社区综合管理患者[(0.94±0.15)分,(1.39±0.48)分;(10.40±2.07)分,(17.52±6.89)分,P均<0.05)]。结论 脑梗死患者存在不同程度的负性疾病感知,血清胱抑素C、同型半胱氨酸和超敏C反应蛋白水平可间接反映其程度。
英文摘要:
      Objective To study the illness perception features in patients with cerebral infarction.MethodsWe evaluated the patients′ disease perceptions and its relationship with Cystatin C,homocysteine and high sensitivity C reactive protein in patients with cerebral infarction.Results Pearson partial correlation analysis showed that timeline course (acute/chronic) dimension was closely related to the identity dimension,personal control dimension,treatment control dimension,consequences dimension and emotional representations dimension (r=0.768,-0.605,-0.714,0.731,0.790,respectively;P<0.05),emotional representation dimension was closely related to the personal control dimension,treatment control dimension and consequences dimension(r=-0.708,-0.725,0.719 respectively;P<0.05).Cystatin C was closely related to the timeline acute/chronic dimension,consequences dimension,cyclical dimension,emotional representations dimension,treatment control and personal control dimension(r=0.552,0.393,0.456,0.442,-0.285,-0.293,respectively;P<0.05).Compared with community patients,the course (acute/chronic) dimension,cyclical dimension,consequences dimension,identity dimension and emotional representation dimension score were lower than that of the non-community patients (2.48±0.47,3.02±0.45,2.78±0.39,3.02±0.26,3.08±0.41,3.32±0.30,3.30±0.55,3.57±0.41,2.42±0.42,2.68±0.36,respectively;P<0.05),and the treatment control dimension score were higher than that of the non-community patients (3.69±0.29 and 3.53±0.24,respectively;P<0.05).Compared with community patients,the Cystatin C,homocysteine were lower than non-community patients (0.94±0.15,1.39±0.48,0.40±2.07,7.52±6.89,respectively;P<0.05).Conclusion The patients with cerebral infarction suffer negative illness perception influenced by Cystatin C and homocysteine.
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