脑梗死患者疾病感知及影响因素分析
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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。
Objective To study the illness perception features in patients with cerebral infarction.Methods We 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 ± 0.48,10.40 ± 2.07,17.52 ± 6.89,respectively; P < 0.05).Conclusion The patients with cerebral infarction suffer negative illness perception influenced by Cystatin C and homocysteine.
Objective To study the illness perception features in patients with cerebral infarction.Methods We 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 ± 0.48,10.40 ± 2.07,17.52 ± 6.89,respectively; P < 0.05).Conclusion The patients with cerebral infarction suffer negative illness perception influenced by Cystatin C and homocysteine.
引文
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[8]PACHECO-HUERGO V,VILADRICH C,PUJOL-RIB-ERA E,et al.Perception in chronic illness:linguistic validation of the revised Illness perception questionnaire and the brief illness perception questionnaire for aspanish population[J].Aten Primaria,2012,44(5):280-287.
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[10]CHABOVER W,LEE B O,WALLIS M,et al.Taiwanese translation and psychometrictesting of the revised illness perception questionnaire for patients with traumatic injury[J].J Clin Nurs,2012,21(23/24):3466-3474.
[11]YAN J,YOU L M,HE J G,et al.Illness perception among Chinese patients with acute myocardial infarction[J].Patient Educ Couns,2011,85(3):398-405.
[12]BERRY E,DAVIES M,DEMPTER M.Illness perception clusters and relationship quality are associated with diabetes distress in adults with type 2 diabetes[J].Psychol Health Med,2017,22(9):1118-1126.
[13]WILSK M,TASIEMSKI T.Illness perception,treatment beliefs,self-esteem,and self-efficacy as correlates of selfmanagement in multiple sc Ierosis[J].Acta Neurol Scand,2016,133(5):338-345.
[14]NOWICKA SAUER K,BANASZKIEWIEZ D,STASK-IEWICZ I,et al.Illness perception in Polish patients with chronic diseases:psychometric properties of the brief illness perception questionnaire[J].J Health Psychol,2016,21(8):1739-1749.
[15]NOWICKA SAUER K,BANASZKIEWIEZ D,STASK-IEWICZ I,et al.Illness perception in Polish patients with chronic diseases:psychometric properties of the brief illness perception questionnaire[J].J Health Psychol,2016,21(8):1739-1749.
[16]CHEN P,BROADBENT E,COOMARASAMY C,et al.Illness perception in association with psychological functioning in patients with discoid lupus erythematosus[J].Br JDermatol,2015,173(3):824-826.
[17]计海霞,张建凤,张蕾,等.缺血性脑卒中患者疾病感知的影响因素分析[J].中国动脉硬化杂志,2016,24(10):1001-1006.
[18]陈莉,钟华.患者疾病感知对缺血性脑卒中预后的影响[J].现代医药卫生,2017,33(18):2785-2787.
[2]潘小玲.SSRI类药物促进缺血性脑卒中患者神经功能恢复[J].心脑血管病防治,2014,14(5):418-420.
[3]VAN DER HAVE M,MINDERHOUD I M,KAPTEIN AA,et al.Substantial impact of illness perceptions on quality of life in patients with Crohn's disease[J].J Crohns Colitis,2013,7(8):e292-e301.
[4]ZOECKLER N,KENN K,KUEHL K,et al.Illness perceptions predict exercise capacity and psychological well-being after pulmonary rehabi-litation in COPD patients[J].J Psychosom Res,2014,76(2):146-151.
[5]计海霞,张蕾,汪凯,等.缺血性脑卒中患者的疾病感知及相关因素分析[J/CD].中华临床医师杂志:电子版,2014,8(20):3588-3592.
[6]BRZOSKA P,YILMAZ-ASLAN Y,SULTANOGLU E,et al.The factor strcture of the Turkish version of the Revised Illness Perception Questionnaire(IPQ-R)inpatients with diabetes and cardiovascular disease[J].BMC Public Health,2012,12(1):852-859.
[7]ABUBAKARI A R,JONES C,LAUDER W,et al.Psychometricproperties of the revised illness perception questionnarie:factor structure and reliability among african-origin populations with type 2 diabetes[J].Int J Nurs Stud,2012,49(6):672-681.
[8]PACHECO-HUERGO V,VILADRICH C,PUJOL-RIB-ERA E,et al.Perception in chronic illness:linguistic validation of the revised Illness perception questionnaire and the brief illness perception questionnaire for aspanish population[J].Aten Primaria,2012,44(5):280-287.
[9]宋莉,胡大一,杨进刚,等.疾病感知问卷中文版对急性心肌梗死患者的适用性和信效度分析[J].中国精神卫生杂志,2007,21(12):822-825.
[10]CHABOVER W,LEE B O,WALLIS M,et al.Taiwanese translation and psychometrictesting of the revised illness perception questionnaire for patients with traumatic injury[J].J Clin Nurs,2012,21(23/24):3466-3474.
[11]YAN J,YOU L M,HE J G,et al.Illness perception among Chinese patients with acute myocardial infarction[J].Patient Educ Couns,2011,85(3):398-405.
[12]BERRY E,DAVIES M,DEMPTER M.Illness perception clusters and relationship quality are associated with diabetes distress in adults with type 2 diabetes[J].Psychol Health Med,2017,22(9):1118-1126.
[13]WILSK M,TASIEMSKI T.Illness perception,treatment beliefs,self-esteem,and self-efficacy as correlates of selfmanagement in multiple sc Ierosis[J].Acta Neurol Scand,2016,133(5):338-345.
[14]NOWICKA SAUER K,BANASZKIEWIEZ D,STASK-IEWICZ I,et al.Illness perception in Polish patients with chronic diseases:psychometric properties of the brief illness perception questionnaire[J].J Health Psychol,2016,21(8):1739-1749.
[15]NOWICKA SAUER K,BANASZKIEWIEZ D,STASK-IEWICZ I,et al.Illness perception in Polish patients with chronic diseases:psychometric properties of the brief illness perception questionnaire[J].J Health Psychol,2016,21(8):1739-1749.
[16]CHEN P,BROADBENT E,COOMARASAMY C,et al.Illness perception in association with psychological functioning in patients with discoid lupus erythematosus[J].Br JDermatol,2015,173(3):824-826.
[17]计海霞,张建凤,张蕾,等.缺血性脑卒中患者疾病感知的影响因素分析[J].中国动脉硬化杂志,2016,24(10):1001-1006.
[18]陈莉,钟华.患者疾病感知对缺血性脑卒中预后的影响[J].现代医药卫生,2017,33(18):2785-2787.