首发脑卒中患者出院后1周的社会参与水平及影响因素分析  

Analysis of the status and influencing factors of first- stroke patients' social participation one week after discharge

作　　者：贺亚楠[1,2] 胡琛[1] 周兰姝[1] 

机构地区：[1]第二军医大学护理学院,上海市200433 [2]上海市东方医院护理部,200120

出　　处：《护理管理杂志》2013年第8期543-545,共3页Journal of Nursing Administration

基　　金：上海市自然科学基金(11ZR1447100)

摘　　要：目的探讨首发脑卒中患者出院后1周的社会参与水平及影响因素,为制订针对性的措施提供依据。方法选取符合纳入标准的271例首发脑卒中患者,使用参与和自主性测评问卷在患者出院后1周进行随访调查。结果首发脑卒中患者出院后1周的社会参与总分为(61.14±13.44)分;各维度得分为:家庭角色自主参与(21.69±5.07)分、室外自主参与(15.22±2.55)分、室内自主参与(14.27±4.88)分、社会生活自主参与(9.96±5.50)分。经多元逐步回归分析显示,影响首发脑卒中患者社会参与水平的主要因素是:婚姻状况、照顾者类型、医疗费用支付方式和发病到入院的间隔时间。结论首发脑卒中患者社会参与水平受限,医护人员应根据其影响因素制订针对性的干预措施,以促进其参与社会,提高其生活质量。Objective To explore the status and influencing factors of first -stroke patients＇social participation one week after discharge, thus to provide reference to develop specific measures. Method Totally,271 first - stroke patients were investigated by Impact on Participation and Autonomy Questionaire （IPA） one week after discharge. Results One week after discharge, IPA score of first - stroke patients was （ 51.14 ＋ 13.44） , the scores of each dimension were as the following： family role （ 21.69 ~ 5.07 ）, outdoor autonomy （ 15.22 ~ 2.55 ）, indoor antnnomy （ 14.27 ~ 4.88 ）, social life （ 9.96 ＋ 5.50 ）. Multiple linear regression analysis showed that the influential factors of social participation were ： marital status, type of caregivers, cost and the time interval between onset to ad- mission. Conclusion The findings of this study demonstrated that the stroke survivors have restriction in social participation. It is important to provide interven- tion measures based on the influencing factors, thus to improve the social participation and quality of life of first - stroke patients .

关 键 词：脑卒中 社会参与 康复期 

分 类 号：R473.74[医药卫生—护理学]