首发缺血性脑卒中病人急性应激障碍现状及影响因素研究OA

Objective:To investigate the status quo and influencing factors of acute stress disorder(ASD)in patients with first-stage ischemic stroke(IS).Methods:A total of 388 patients with first-stage IS from a tertiary hospital in Tianjin were selected as the study subjects.They were divided into ASD group and non-ASD group based on whether they had ASD.A general information questionnaire,the Stanford Acute Stress Response Questionnaire(SASRQ),Connor-Davidson Resilience Scale(CD-RISC),Perceived Social Support Scale(PSSS),and Simplified Coping Style Questionnaire(SCSQ)were used for the survey.Univariate and multivariate analyses were conducted to identify the influencing factors of ASD in the patients.Results:Among 388 patients,179 developed ASD,with an incidence rate of 46.13％.Logistic regression analysis showed that personality,dysphagia,hemiplegia,sleep disturbances,psychological resilience,and social support were independent influencing factors for ASD in first-episode ischemic stroke(IS)patients(P＜0.05).Conclusion:The incidence of ASD is high in first-episode IS patients,and its occurrence is related to the patient's personality,dysphagia,hemiplegia,sleep disturbances,psychological resilience,and level of social support.This suggests that medical staff should identify high-risk groups as early as possible and take effective measures for prevention and intervention.