脑卒中患者家庭功能与康复锻炼依从性现状及其相关性分析  

Status and correlation analysis of stroke patients'family function and rehabilitation exercise compliance

作　　者：练海娟 姚梅琪[2] 陈金花[3] 沈旭慧[1] Lian Haijuan;Yao Meiqi;Chen Jinhua;Shen Xuhui(School of Medicine,Huzhou University,Huzhou313000,China;Nursing Department,the Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou310009,China;Neurology Department,the Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou310009,China)

机构地区：[1]湖州师范学院医学院,湖州313000 [2]浙江大学医学院附属第二医院护理部,杭州310009 [3]浙江大学医学院附属第二医院神经内科,杭州310009

出　　处：《中华现代护理杂志》2019年第27期3474-3479,共6页Chinese Journal of Modern Nursing

基　　金：浙江省卫计委医药卫生科研项目(2015KYA106).

摘　　要：目的调查脑卒中患者家庭功能与康复锻炼依从性水平,并探讨二者的相关性。方法采用便利抽样法,选取2018年6月15日—2018年12月15日在浙江省某三级甲等医院神经内科门诊复查的400例脑卒中患者为研究对象。采用一般资料调查登记表、康复功能锻炼依从性量表(EAQ)、家庭功能评定量表(FAD)对其进行调查。本研究共发放问卷400份,回收有效问卷389份。结果389例脑卒中患者EAQ总分为(37.07±11.55)分,FAD总分为(115.78±32.75)分。家庭功能各维度得分(除情感介入外)与康复锻炼依从总分呈负相关(P<0.05)。家庭功能量表总分与康复锻炼依从性各维度得分均呈负相关(P<0.05)。多元线性回归分析显示,问题解决、沟通、角色、情感反应、行为控制以及总的家庭功能为脑卒中患者锻炼依从性的影响因素(P<0.05)。结论脑卒中患者家庭功能与康复锻炼依从性均存在较大的上升空间。家庭功能较好的患者,其康复锻炼依从行为也较好。改善家庭功能,尤其是提供有效的问题解决方案是提高脑卒中患者依从性的有效途径。Objective To explore the family function of stroke patients and their rehabilitation exercise compliance level,as well as the correlation between them.Methods By convenience sampling,totally 400 stroke patients undergoing re-examination in Department of Neurology,a ClassⅢGrade A hospital in Zhejiang Province from June 15th,2018 to December 15th 2018 were selected as the research objects.General Information Questionnaire,Questionnaire of Exercise Adherence(EAQ),Family Assessment Device(FAD)were adopted in the study.A total of 400 questionnaires were distributed and 389 valid ones were collected.Results The 389 stroke patients had a total score of(37.07±11.55)in EAQ and(115.78±32.75)in FAD.The dimensional scores in family function(except emotional intervention)were negatively correlated with the total score of rehabilitation exercise compliance(P<0.05).The total score of FAD was negatively correlated with each dimensional scores of EAQ(P<0.05).Multivariate linear regression analysis indicated that,problem-solving,communication,role,emotional reaction,behavior control and the overall family function were the influencing factors of the patient's exercise compliance(P<0.05).Conclusions The stroke patients'family function and rehabilitation exercise compliance have great space to improve.For those with good family function,their rehabilitation exercise compliance is also good.Improving family function,especially coming up with effective problem-solving plan,is the effective way to improve the stroke patients'rehabilitation exercise compliance.

关 键 词：卒中 家庭功能 康复锻炼 依从性 

分 类 号：R473.74[医药卫生—护理学]