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目的探讨缺血性脑卒中患者社会支持和自我效能与应对方式的关系。方法采用领悟社会支持量表(PSSS)、一般自我效能感量表(GSES)和医学应对问卷(MCMQ)对368位缺血性脑卒中患者进行调查。结果①朋友支持、家庭支持、他人支持、自我效能与面对呈正相关(P<0.05)。②自我效能与屈服呈负相关(P<0.01)。③家庭支持对面对存在回归效应(P<0.05);自我效能对面对、屈服、回避3种应对方式均存在回归效应(P<0.05)。④不同性别、不同婚姻状况的患者领悟社会支持、自我效能、应对方式存在差异(P<0.05)。结论社会支持和自我效能对急性缺血性脑卒中患者采取的应对方式存在重要影响,医护人员在尽可能多地为患者提供客观支持的同时,动员患者亲友为其提供充足的社会支持,还要提高患者的社会支持领悟能力和自我效能水平。
Objective To explore the relationship between social support, self-efficacy and coping style in patients with ischemic stroke. Methods 368 ischemic stroke patients were investigated using the PSSS, GSES and MCMQ. Results ① There was a positive correlation between friends support, family support, others support, self-efficacy and face-to-face (P <0.05). ② There was a negative correlation between self-efficacy and yield (P <0.01). (3) Family support had a regression effect on the face (P <0.05). Self-efficacy had a regression effect on the three coping styles of facing, yielding and avoiding (P <0.05). ④Patients with different genders and different marital status perceived social support, self-efficacy and coping style differences (P <0.05). Conclusions Social support and self-efficacy have an important impact on the coping style of patients with acute ischemic stroke. While nurses provide objective support to patients as much as possible, they should mobilize their relatives and friends to provide adequate social support, Improve patient’s social support ability to understand and self-efficacy level.