年輕型中風患者壓力感受與因應行為之探討

The Relationship between Stress Perceptions and Coping Behaviors among Young Stroke Patients

本研究目的主要探討年輕型中風患者壓力感受與因應行為及其相關影響因素。採橫斷性研究，以立意取樣方式，選取16-45歲中風患者為研究對象共100名，採自填結構式問卷進行資料收集。研究結果發現研究族群對擔心再次中風（1.59±1.07）最感到壓力；而最常使用的因應行為則為專心治病（9.25±3.10）。影響因應行為的相關因素包括：教育程度、經濟狀況、中風次數、中風後是否仍擔任原工作、獨立自主能力與壓力感受。而因應行為與獨立自主能力呈正相關(γ=.496)，與壓力感受則呈負相關(γ=-.505)。本研究結果建議中風初期宜及早提升個案獨立自主功能及增進其對復健計畫的了解與參與，以增進其正向因應行為。

The purpose of this study was to understand the relationship between stress perceptions andcoping behaviors among young stroke patients. A cross-sectional design and purposive samplingtechnique were applied, and a total of 100 young stroke patients from aged from 16 to 45 weresampled. The results showed that worrying about the recurrence of stroke (1.59±1.07) was themost important stress factor for young stroke patients. With respect to coping behaviors, the participantstended to concentrate on the treatment of the disease effects (9.25±3.10). The significantfactors influencing coping behavior were educational level, economic level, time of the stroke andcareer after the stroke. The Functional Independence Measure showed a positive correlation withcoping behaviors (r=.496), and a negative correlation was observed between the stress perceptionsscore and coping behaviors (r=-.505). The results concluded that early intervention promotingindependent functioning and understanding of the rehabilitation process may improve the positivecoping behaviors among young stroke patients.