门诊脑卒中患者自我护理能力及影响因素分析  

Self-care agency and the factors affecting the ability of stroke-stricken outpatients

作　　者：饶艳[1] 欧翠玲[2] 万丽红[3] 李琨[3] 李玲[4] 

机构地区：[1]衢州职业技术学院,浙江衢州324000 [2]中山大学附属第三医院神经内科,广东广州510630 [3]中山大学护理学院,广东广州510089 [4]中山大学附属第一医院神经内科,广东广州510080

出　　处：《健康研究》2016年第4期382-384,388,共4页Health Research

摘　　要：目的探讨门诊脑卒中患者的自我护理能力及影响因素。方法采用随机抽样的方法,用自我护理能力测定量表(ESCA)对100例门诊脑卒中患者的自我护理能力进行问卷调查。结果门诊脑卒中患者的自我护理能力总分为118.86±22.82分,44%的患者达到中等水平,56%的患者达到高等水平,各维度中,自我护理技能得分最低;男/女、丧偶/已婚、居住在农村/城市、存在自理缺陷/完全自理的患者之间自我护理能力差异显著(P<0.05)。结论门诊脑卒中患者的自我护理能力呈中等偏上水平,其中健康知识水平和自我护理技能维度的水平相对较差;存在自理缺陷、男性、居住在农村、丧偶患者的自我护理能力较低。Objective To examine the self-care agency and the factors affecting the ability of stroke-stricken outpatients.Method 100 outpatients who suffered stroke were selected as the subjects of study. The Exercise of Self-Care Agency Scale（ ESCA） was used to survey the self-care agency of the patients. Findings The mean score for Self-Care Agency among outpatients with stroke was 118. 86 ± 22. 82,with 44% subjects possessing medium level of ability and 56% subjects possessing high level. The lowest score was in the domain of self-care skill. Significant difference in self-care agency was found between male and female patients,widowed and married patients,patients living in the country and those living in the city,those with poorer and those with better self-care ability（ P〈0. 05）. Conclusion The level of self-care agency among outpatients with stroke was medium to high. Of self-care agency,the domain of of self-care skill was at the lowest level. The self-care agency of male patients,widowed stroke survivors and those with poorer self-care ability and those living in the country was poorer.

关 键 词：门诊 脑卒中 自我护理能力 影响因素 

分 类 号：R473.74[医药卫生—护理学]