关键词: 卒中, 残疾, 影响因素分析

Abstract: Objective To analyze the acceptance of disability for initial stroke patients and its influencing factors，and to provide theoretical evidence for psychological intervention and clinical rehabilitation. Methods A total of 150 hospitalized initial stroke patients were investigated with Adaptation of Disability Scale-Revised，Medical Coping Modes Questionnaire，Functional Activities Questionnaire，Self-Rating Depression Scale and Perceived Social Support Scale. Results The mean score for Adaptation of Disability Scale-Revised was（73.56±15.44），and dimensions in descending order were as follows：enlargement，transformation，containment，and subordination. Multiple linear regression analysis showed that confrontation，understanding of disease control，depression，functional activity，and perceived family support were major factors affecting acceptance of disability among initial stroke patients，which explained 51.8% of the total variance. Conclusion Nurses should detect initial stroke patients who are in low level of disability acceptance. Oriented by each dimension and influencing factors，proper psychological interventions should be provided to enhance the level of disability acceptance and psychosomatic rehabilitation.

Key words: Stroke, Disability, Root Cause Analysis