关键词: 缺血性脑卒中, 失志, 心理弹性, 自我护理能力

Abstract: Objective: To explore the current status of resilience, self -care ability and demoralization in patients with ischemic stroke and analyze their relationship, so as to provide a reference basis for medical staffs to enhance the mental health management for patients with ischemic stroke. Methods: A convenience sampling method was used. From November 2021 to February 2022, 140 patients with ischemic stroke who were hospitalized in the department of neurology of a Class A tertiary hospital in Tianjin. The study instruments included the demographic questionnaire, the Chinese version of Demoralization Scale II（DS-II-C）, the 10-item Connor-Davidson Resilience Scale（CD-RISC 10）and the Chinese version of the Revised Self-Care Ability Assessment Scale（ASAS-R-C）. Results: The score of demoralization in patients with ischemic stroke was 8.00（6.00,13.00）, and the incidence of moderate and severe demoralization was 70.7%. The total score of the CD-RISC 10 was 25.43±7.89. The total score of the ASAS-R-C was 54.31±6.94. Resilience, self-care ability and demoralization in patients were significantly negatively correlated （P＜0.01）, and resilience played a mediating role between self-care ability and demoralization, with a mediating effect ratio of 38.15% of the total effect. Conclusion: Health care providers should focus on the psychological dynamics of ischemic stroke patients, pay attention to the demoralization problem faced by this diseased population, and strengthen the intervention of resilience in the process of enhancing selfcare ability and maintaining healthy psychology. Thus, the patients can subsequently adjust their intrinsic psychology with the ultimate goal of preventing or reducing the occurrence and development of demoralization.

Key words: Ischemic stroke, Demoralization, Resilience, Self-care ability