International Medicine and Health Guidance News ›› 2022, Vol. 28 ›› Issue (24): 3431-.DOI: 10.3760/cma.j.issn.1007-1245.2022.24.005

• Scientific Research • Previous Articles     Next Articles

Analysis of influencing factors of CD-RISC score after interventional therapy for intracranial aneurysms

Zhao Nan, Li Hui, Kong Xiangzhi, Chang Liguo   

  1. Department of Neurology, Liaocheng Third People's Hospital, Liaocheng 252000, China
  • Received:2022-07-07 Online:2022-12-15 Published:2022-12-16
  • Contact: Chang Liguo, Email: zhaonan0614022@163.com
  • Supported by:
    Shandong Province Integrated Traditional Chinese and Western Medicine Early Prevention and Treatment Project of Alzheimer's Disease

颅内动脉瘤介入治疗术后心理弹性量表评分的影响因素分析

赵楠  李辉  孔祥之  常立国   

  1. 聊城市第三人民医院神经内科,聊城 252000
  • 通讯作者: 常立国,Email:zhaonan0614022@163.com
  • 基金资助:
    山东省中西医结合阿尔茨海默病(老年痴呆症)早期防治专项

Abstract: Objective To analyze the influencing factors of Connor-Davidson Resilience Scale (CD-RISC) score after interventional therapy for intracranial aneurysms and its relationship with simple coping style. Methods A total of 80 patients with intracranial aneurysms after interventional therapy in Liaocheng Third People's Hospital from October 2018 to November 2021 were selected, including 34 males and 46 females, aged (58.63±7.62) years. General data questionnaire, Perceptive Social Support Scale (PSSS), Simplified Coping Style Questionnaire (SCSQ), and CD-RISC were used to conduct a questionnaire survey. The factors affecting the patients' CD-RISC score were analyzed by single factor analysis, and the factors with statistically significant differences were assigned and were further analyzed by multiple linear regression analysis. Independent sample t test and one-way analysis of variance were used for the measurement data. Results The CD-RISC score in patients with intracranial aneurysms after interventional therapy was (63.52±5.95), which was at a medium level. There were statistically significant differences in the CD-RISC score among patients with different postoperative complications, psychological nursing, social support, positive coping SCSQ score, and negative coping SCSQ score (all P<0.05). Multiple linear regression analysis showed that postoperative complications (β=-2.983, P<0.05), psychological nursing (β=3.427, P<0.05), social support (β=4.251, P<0.05), positive coping SCSQ score (β=2.154, P<0.05), and negative coping SCSQ score (β=-2.476, P<0.05) were the influencing factors of CD-RISC score. Conclusions The psychological resilience in patients with intracranial aneurysms after interventional therapy is at a medium level. Postoperative complications, psychological nursing, social support, positive coping SCSQ score, and negative coping SCSQ score are the influencing factors of CD-RISC score after interventional therapy for intracranial aneurysms. Medical staff should pay attention to the relevant influencing factors and formulate the targeted nursing measures to improve the prognosis.

Key words: Intracranial aneurysms, Interventional therapy, Psychological resilience, Coping style

摘要: 目的 分析颅内动脉瘤介入治疗术后心理弹性量表(CD-RISC)评分的影响因素及其与简易应对方式的关系。方法 选取聊城市第三人民医院2018年10月至2021年11月颅内动脉瘤介入治疗术后患者80例,男34例,女46例,年龄(58.63±7.62)岁。采用一般资料问卷、领悟社会支持量表(PSSS)、简易应对方式问卷(SCSQ)、CD-RISC进行问卷调查,单因素分析影响患者CD-RISC评分的因素,对差异有统计学意义的因素赋值进行多元线性回归分析。计量资料采用独立样本t检验、单因素方差分析。结果 颅内动脉瘤介入治疗术后患者CD-RISC评分为(63.52±5.95)分,处于中等水平。不同术后并发症、心理护理、社会支持、积极应对SCSQ评分、消极应对SCSQ评分的患者CD-RISC评分差异均有统计学意义(均P<0.05)。多元线性回归分析发现,术后并发症(β=-2.983,P<0.05)、心理护理(β=3.427,P<0.05)、社会支持(β=4.251,P<0.05)、积极应对SCSQ评分(β=2.154,P<0.05)、消极应对SCSQ评分(β=-2.476,P<0.05)均为CD-RISC评分的影响因素。结论 颅内动脉瘤介入治疗术后患者心理弹性处于中等水平,术后并发症、心理护理、社会支持、积极应对SCSQ评分、消极应对SCSQ评分是颅内动脉瘤介入治疗术后CD-RISC评分的影响因素,医护人员应重视相关影响因素,并制定针对性护理措施,以改善预后。

关键词: 颅内动脉瘤, 介入治疗, 心理弹性, 应对方式