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Study On The Rumination Status Of Stroke Patients With Hemiplegia And Its Influencing Factors

Posted on:2022-06-11Degree:MasterType:Thesis
Country:ChinaCandidate:Y HeFull Text:PDF
GTID:2504306575978889Subject:Nursing
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Objectives To investigate the level and type of rumination and to explore its influencing factors,so as to provide an effective basis for clinical medical care personnel to reduce intrusive rumination,improve deliberate rumination,and formulate corresponding measures to promote the transformation of patients from negative mindset to positive mindset.Methods 467 stroke patients with hemiplegia in the neurology and neurosurgery ward in a third-class hospital in Handan City were selected by convenience sampling method from October 2019 to June 2020.Investgate the level of general demographic characteristics,disease-related characteristics,neurological impairment,rumination,family support,social support,sleep quality,anxiety,depression,self-efficacy.Excel was used in data entry,and SPSS22.0 was used for data analysis.Descriptive statistical analysis was used for general demographic characteristics and disease related characteristics.T test and analysis of variance were used for univariate analysis.Multiple linear regression was used in multivariate analysis to analyze the factors influencing rumination in stroke patients with hemiplegia.Results 1 Status of rumination in stroke patients with hemiplegia: among the 467 stroke patients with hemiplegia in this survey,the total score of rumination was(30.55±6.20),the lowest score was 17,the highest score was 55.The average score of each dimension item was: intrusive meditation was(15.72±3.56)and deliberate meditation was(15.72±3.56).2Univariate analysis of rumination in stroke patients with hemiplegia: the results showed gender,age,marital status,educational level,payment method,personality,place of residence,living style,satisfaction with the result of the treatment,the types of stroke,the way of treatment,headache,hemiplegia side,speech dysfunction,facial paralysis,stroke site,hypertension,diabetes,coronary heart disease,whether lived in care unit,the level of neurological impairment,family support,social support and sleep quality,anxiety,depression,and self-efficacy are the influence factors of intrusive meditation,the difference was statistically significant(P<0.05);Gender,age,marital status,educational level,Per capita family monthly income and place of residence,personality,type of stroke,the way of treatment,headache,hemiplegia side,speech dysfunction,diabetes,coronary heart disease,frequency of attacks,the level of neurological impairment,family support,social support and sleep quality,anxiety,depression,and self-efficacy are the influence factors of deliberate rumination,the difference was statistically significant(P<0.05).3Multivariate analysis of rumination in stroke patients with hemiplegia: the influencing factors of intrusive meditation in stroke patients with hemiplegia were age,marital status,educational level,place of residence,the way of treatment,diabetes,whether lived in care unit,neurological impairment,sleep quality,anxiety,depression and self-efficacy;The influencing factors of deliberate rumination were marital status,educational level,per capita monthly family income,personality,the way of treatment,stroke site,frequency of attacks,the level of neurological impairment,family support,social support,sleep quality,and self-efficacy.Conclusions 1 The score of rumination in stroke patients with hemiplegia was(30.55±6.20),which was at a medium level,showing the characteristics of higher intrusive rumination in stroke patients with hemiplegia.2 Stroke patients with hemiplegia who are female,non-spouse,highly educated,urban resident,have experienced surgical treatment,diabetes mellitus,former intensive care unit,severe neurological impairment,poor sleep quality,anxiety,depression and low self-efficacy have high levels of intrusive rumination;Stroke patients with hemiplegia who have spouse,high education level,good economic status,moderate personality,conservative treatment,lesions in the right cerebral hemisphere,first disease occurrence,mild degree of neurological impairment,good sleep quality,high level of family and social support,high level of self-efficacy have high levels of deliberate rumination.Figure 0;Table 15;Reference 195...
Keywords/Search Tags:stroke, hemiplegia, rumination, influencing factors
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