脑卒中急性期自我感受负担对老年患者康复早期自我管理行为的影响  

Effects of self-perceived burden of acute stroke on self-management behaviors in elderly patients during early rehabilitation

作　　者：张凤 尼春萍 魏媛媛 肖婷 陈玉 邵佩 ZHANG Feng;NI Chun-Ping;WEI Yuan-Yuan;XIAO Ting;CEHN Yu;SHAO Pei(Faculty of Nursing,Air Force Medical University,Xi′an 710032,China)

机构地区：[1]空军军医大学护理系,西安710032

出　　处：《中华老年多器官疾病杂志》2021年第4期270-273,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：陕西省国际合作项目(2015KW-041);陕西省重点研发项目(2017SF-177)。

摘　　要：目的探讨脑卒中急性期老年患者自我感受负担的状况,分析自我感受负担对卒中后1个月自我管理行为的影响。方法采用一般资料调查表、自我感受负担量表、脑卒中自我管理行为评定量表对2017年1月至9月于西安市3所三级甲等医院住院的216例脑卒中老年患者进行问卷调查(有效问卷209份),分析患者急性期自我感受负担状况及其与恢复期自我管理行为的相关性。采用SPSS 23.0统计软件对数据进行Spearman相关分析。结果98.56%(206/209)的脑卒中老年患者在疾病急性期存在自我感受负担,其中75.60%(158/209)的患者自我感受负担处于中、重度。脑卒中老年患者卒中后1个月自我管理行为总分及其情绪、社会功能和人际管理2个维度与急性期自我感受负担总分呈负相关(r=-0.190、-0.422、-0.270,P<0.05);自我管理行为总分与急性期情感、经济自我感受负担得分呈弱负相关(r=-0.175、-0.203,P<0.05),情绪管理维度与急性期自我感受负担及其3个维度的相关性最大(r=-0.422、-0.214、-0.457、-0.328,P<0.01)。结论脑卒中老年患者急性期自我感受负担整体处于中、重度水平,它与康复早期自我管理行为相互影响,自我感受负担越高,自我管理行为越差。医务人员及患者亲友在疾病急性期应加强心理疏导,康复早期应指导患者积极进行康复锻炼,做好疾病及生活起居的自我管理,促进疾病康复,提高生活质量。Objective To investigate the status of self-perceived burden in the elderly with acute stroke and analyze its effect on self-management behaviors in 1 month after stroke.Methods A questionnaire survey was performed among 216 elderly inpatients with stroke from 3 upper first-class hospitals in Xi′an during January and September 2017,including general data questionnaire,self-perceived burden scale,and stroke self-management behavior rating scale.Finally,209 valid questionnaires were collected,and the correlation between self-perceived burden at the acute phase and self-management behavior at recovery phase was analyzed by Spearman correlation analysis with SPSS statistics 23.0.Results Among the 209 elderly stroke patients,98.56%(206/209)of them had a self-perceived burden in the acute phase of the disease,and 75.60%(158/209)had moderate and severe self-perceived burden.The total score of self-management behavior and the scores of its 2 dimensions of emotion and social function and interpersonal management were negatively correlated with the total score of self-perceived burden in the acute phase in the patients(r=-0.190,-0.422,-0.270;P<0.05).And the total score was weakly negatively correlated with the emotional and economic self-perceived burden scores in the acute phase(r=-0.175,-0.203;P<0.05),and the emotional management dimension had the greatest correlation with the self-perceived burden and its 3 dimensions in the acute phase(r=-0.422,-0.214,-0.457,-0.328;P<0.01).Conclusion The elderly patients with acute stroke generally have moderate or severe self-perceived burden during the acute phase.It interacts with self-management behaviors in the early stage of rehabilitation.The stronger the self-perception burden is,the worse the self-management behaviors are.Medical staffs and patients′relatives and friends should strengthen psychological counseling in the acute phase,instruct the patients to actively carry out rehabilitation exercise in the early stage of rehabilitation,do a good job in self-management of di

关 键 词：脑卒中 急性期 自我感受负担 自我管理行为 

分 类 号：R743.3[医药卫生—神经病学与精神病学]