腦卒中病人配偶照顧者出院過渡期心理適應(yīng)水平及其影響因素

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The psychological adaptation level and influencing factors of spouse caregivers for stroke patients in the transition period after discharge

CHEN Yan， SUO Lina， LIU Mengke， KUANG Youxin， SU Lili， ZHANG Zhifei

Henan Provincial People's Hospital， Henan 450003 China

Corresponding Author  SUO Lina， E?mail： 1345643537@qq.com

Abstract  Objective：To investigate the psychological adaptation level of spouse caregivers for stroke patients in the transition period after discharge，and to analyze its influencing factors.Methods：A total of 237 spouse caregivers of stroke patients were investigated before and after discharge by using the general situation questionnaire， Psychological Adjustment Scale（PAS），Chinese version of Connor?Davidson Resilience Scale（CD?RISC?25） and Mutuality Scale（MS）.Results：The PAS scores of spouse caregivers of stroke patients in 1 day before discharge and 1 month，3 months and 6 months after discharge were 60（52，68），61（53，70），67（57，76） and 72（61，80） respectively.The results of generalized estimation equation showed that male spouse，spousal caregiving experience，high mutuality and high resilience were protective factors of PAS scores of spouse caregivers for stroke patients，and family financial burden was a risk factor for PAS scores of spouse caregivers for stroke patients.Conclusions：The psychological adaptation level of the spouse caregivers for stroke patients was increasing after discharge.The mutuality and resilience of spouse caregivers should be improved to improve their psychological adaptation.

Keywords  stroke； spouse caregivers； psychological adaptation； mutuality； resilience； influencing factors

摘要  目的：調(diào)查腦卒中病人配偶照顧者出院過渡期的心理適應(yīng)水平，分析其影響因素。（剩余14471字）