自我效能水平对脑梗死患者恢复期执行功能障碍状况的影响  

Influence of self-efficacy levels on the executive function of patients with ischemic stroke in recovery phase

作　　者：赵雅宁[1,2] 曹书华[3] 王红阳[2] 王霞[2] 田园[2] 

机构地区：[1]天津中医药大学,天津300000 [2]河北联合大学护理康复学院,河北唐山063000 [3]天津第一中心医院,天津300000

出　　处：《现代预防医学》2014年第21期3941-3943,3950,共4页Modern Preventive Medicine

基　　金：河北省科学技术研究与发展计划项目(09276103D-11)

摘　　要：目的探讨自我效能水平对脑梗死认知障碍患者恢复期执行功能的影响。方法采用简易智力状况检查表（MMSE）选取具有认知障碍的706例恢复期（出院后3~4个月）缺血性脑卒中患者,应用一般自我效能感量表（GSES）评价患者自我效能水平,采用执行缺陷综合征的行为评价（BADS）和威斯康星卡片测验系统（WCST）测试患者执行功能。结果自我效能水平低水平组、中水平组、高水平组患者的BADS单项评分和总评分以及WCST各项分值差异有统计学意义;中水平组患者BADS和WCST各项分值高于自我效能低水平组患者;高水平组患者BADS和WCST各项分值高于自我效能中水平组患者（P〈0.05）。结论自我效能的水平可影响脑卒中患者执行功能恢复,提高患者高水平自我效能有助于脑梗死患者执行功能恢复。Objective To explore the influence of self-efficacy levels on the executive function of patients with ischemic stroke. Methods 706 cases ischemic stroke patients in recovery （3-4 months） phase with cognitive impairment were selected by mini-mental status examination table （MMSE）; The level of self-efficacy was examined by the general self-efficacy scale （GSES）, The executive function was assessed by Wisconsin card sorting test （WCST） and behavioral assessment of dysexecutive syndrome （BADS）. Results There were significantly differences in the BADS and WCST scores among the three level self-efficacy groups; The scores of BADS and WCST in high level self-efficacy group were higher than in low and middle level self-efficacy groups （P〈0.05）. Conclusion Levels of self-efficacy can affect the executive function of patients with ischemic stroke in recovery phase; enhancing self-efficacy is helpful to promote executive function recovery in cerebral infarction patients.

关 键 词：脑梗死 执行功能 自我效能 

分 类 号：R195[医药卫生—卫生统计学]