首发脑卒中患者积极度现状及影响因素  

Activation and its influencing factors among patients with first stroke

作　　者：吴蕾 张力[1] 彭夏培 肖敏 付阿丹[2] Wu Lei;Zhang Li;Peng Xiapei;Xiao Min;Fu Adan(Neurology Department,The Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉中心医院神经内科,湖北武汉430014 [2]华中科技大学同济医学院附属武汉中心医院护理部,湖北武汉430014

出　　处：《护理学杂志》2020年第15期15-17,68,共4页Journal of Nursing Science

基　　金：湖北省卫生和计划生育委员会科研项目(WJ7F0818)。

摘　　要：目的探讨首发脑卒中患者积极度现状及其影响因素,为制定针对性的干预措施提供参考。方法采用一般情况调查表、患者积极度量表、脑卒中健康知识问卷、脑卒中康复自我效能问卷调查212例首发脑卒中患者。结果首发脑卒中患者积极度得分为(49.44±12.75)分。多元线性回归分析显示,自我效能、文化程度、生活自理程度、家庭人均月收入、健康知识为患者积极度的主要影响因素,可解释总变异的40.4%。结论首发脑卒中患者积极度水平偏低,尤其是文化程度低、家庭人均月收入低、生活自理程度差、健康知识水平低及自我效能低的首发脑卒中患者,应给予针对性干预,以提高积极度水平。Objective To explore activation among patients with first stroke and its influencing factors,and to provide reference for developing targeted intervention.Methods A total of 228 first stroke patients were investigated using the general information questionnaire,Patient Activation Measure,Stroke Knowledge Questionnaire and Stroke Self-efficacy Questionnaire.Results The activation score of the first stroke patients was(49.44±12.75).Multiple linear regression analysis showed that,self-efficacy,educational background,self-care level,monthly family personal income and health knowledge were the main influencing factors of patient activation,which explained 40.4%of the total variance.Conclusion The activation among first stroke patients is at a low level,especially those patients with a low educational background and monthly family personal income,poor self-care ability and health knowledge,and low self-efficacy,so targeted intervention should be provided to improve their activation.

关 键 词：首发脑卒中 积极度 健康知识 自我效能 自理能力 

分 类 号：R473.5[医药卫生—护理学]