【摘要】" 目的" 探究脑卒中患者习得性无助(learned helplessness，LH)现状及其影响因素。方法" 采用一般资料调查表与习得性无助量表对唐山市两所三级综合医院神经内科住院的301例脑卒中患者进行问卷调查。采用单因素分析及多因素线性回归模型，分析筛选脑卒中患者LH的影响因素。结果" 脑卒中患者LH平均46.98±15.09分。单因素分析显示，受教育程度、家庭人均月收入、家庭氛围、卒中病程、卒中次数、改良Rankin评分、脑中家族史、慢性病数量，对脑卒中患者LH得分有影响(Plt;0.05)。多元线性回归分析显示，受教育程度、家庭氛围、卒中病程及次数、神经功能、卒中家族史是患者LH的影响因素(Plt;0.05)。结论" 脑卒中患者LH处中等水平，受教育程度低、家庭氛围紧张、病程长、多次复发、神经功能差、有家族史的患者LH水平更高。

    【关键词】" 脑卒中；习得性无助；影响因素

    中图分类号" R473.74" " 文献标识码" A" " 文章编号" 1671-0223(2023)08--05

    Analysis of the current situation and influencing factors of learned helplessness in stroke patients" Xu Chenxue， Li Na， Han Ranran， Sun Yuqian， Li Shuxing. College of Nursing and Rehabilitation， North China University of Science and Technology，Tangshan 063210，China

    【Abstract】" Objective" To explore the occurrence and influencing factors of learned helplessness in stroke patients.Methods" A questionnaire survey was conducted using the General Information Data Questionnaire and the Learned Helplessness Scale on 301 stroke patients admitted to the neurology departments of two tertiary general hospitals in Tangshan. Univariate analysis and multivariate linear regression model were used to analyze and screen the influencing factors of LH in stroke patients. Results" The mean score for learned helplessness in stroke patients was 46.98±15.09. Univariate analysis showed that education level ......