目的 探讨中青年出血性脑卒中患者不同心理韧性剖面特征,并分析其影响因素。方法 便利抽样法选取江苏省某三级甲等医院就诊的242例中青年出血性脑卒中患者为研究对象,采用一般资料调查表、心理韧性量表、压力知觉量表、医学应对方式量表、社会支持评定量表对其进行调查,并对患者的心理韧性进行潜在剖面分析。结果 患者心理韧性可分为低韧性-适应困难型、中韧性-缓冲适应型、高韧性-积极应对型3种潜在剖面类型。回归分析显示,男性、睡眠时间≥6 h、良好的社会支持、面对应对方式、卒中前为家庭主要劳动力、家庭人均月收入低、长期居住农村或乡镇、回避、屈服及高压力知觉均是潜在剖面特征的影响因素(均P<0.05)。结论 中青年出血性脑卒中患者心理韧性具有明显的群体异质性,应早期识别患者的心理类别,制订针对性的干预措施。

Objective To explore the latent profile characteristics of psychological resilience among young and middle-aged patients with hemorrhagic stroke and to analyze its influencing factors.Methods 242 young and middle-aged patients with hemorrhagic stroke from a tertiary A hospital in Jiangsu were selected by convenience sampling and surveyed using a general information questionnaire,the Connor-Davidson resilience scale,the perceived stress scale,the medical coping modes questionnaire,and the social support rating scale.Latent profile analysis was conducted to identify distinct resilience profiles.Results 3 latent profiles of psychological resilience were identified: low resilience-adaptation difficulty type,moderate resilience-buffering adaptation type,and high resilience-positive coping type.Regression analysis revealed that male sex,sleep duration ≥6 hours,good social support,confrontive coping,being the primary family laborer before stroke,low average monthly family income,long-term residence in rural areas or townships,avoidance,yielding,and high perceived stress were all influencing factors for different latent profile characteristics (all P<0.05).Conclusions Psychological resilience among young and middle-aged patients with hemorrhagic stroke exhibits significant population heterogeneity.Early identification of patients' psychological profiles should be conducted to develop targeted intervention measures.

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国家自然科学基金面上项目(82471345)；徐州医科大学-齐鲁制药联合基金资助项目(QL-YB003)