急性脑梗死溶栓治疗后恢复期患者健康促进行为的相关因素  

Related Factors of Health-Promoting Behaviors in Convalescent Patients with Acute Cerebral Infarction After Thrombolytic Therapy

作　　者：焦照莉 王连红[1] JIAO Zhaoli;WANG Lianhong(Department of Imaging,HuojiaPeople’s Hospital,Xinxiang 453800,China)

机构地区：[1]获嘉县人民医院影像科,河南新乡453800

出　　处：《河南医学研究》2021年第26期4856-4859,共4页Henan Medical Research

摘　　要：目的探讨急性脑梗死(ACI)溶栓治疗后恢复期患者健康促进行为状况,并分析其影响因素。方法选取获嘉县人民医院2019年4月至2021年4月收治的80例ACI溶栓治疗后恢复期患者为研究对象,均获得3个月随访结果,随访3个月时采用健康促进生活方式量表Ⅱ(HPLPⅡ)评估患者健康促进行为情况,询问并记录患者一般资料;比较不同资料特征的ACI溶栓治疗后恢复期患者HPLPⅡ评分,分析可能导致ACI溶栓治疗后恢复期患者健康促进行为的影响因素。结果中高程度疾病不确定感、具有一般社会支持度、低水平自我效能感的ACI溶栓治疗后恢复期患者HPLPⅡ评分低于低程度疾病不确定感、具有满意社会支持度、中高水平自我效能感的患者,差异有统计学意义(P<0.05);其他不同资料特征的ACI溶栓治疗后恢复期患者HPLPⅡ评分比较,差异无统计学意义(P>0.05);经多元线性回归分析显示,中高程度疾病不确定感、具有一般社会支持度、低水平自我效能感均为ACI溶栓治疗后恢复期患者健康促进行为较低的影响因素(P<0.05)。结论中高程度疾病不确定感、具有一般社会支持度、低水平自我效能感均为ACI溶栓治疗后恢复期患者健康促进行为较低的影响因素。Objective To investigate the health-promoting behaviors of convalescent patients with acute cerebral infarction(ACI)after thrombolytic therapy,and to analyze its influencing factors.Methods A total of 80 convalescent patients with ACI after thrombolytic therapy treated in Huojia People’s Hospital from April 2019 to April 2021 were selected as the research subjects.All patients were followed up for 3 months.The health-promoting behaviors of patients was evaluated by health promotion lifestyle scaleⅡ(HPLPⅡ)at 3 months of follow-up,and the baseline data of patients were asked and recorded.HPLPⅡscores of convalescent patients with ACI after thrombolytic therapy were compared,and the influencing factors that might lead to health-promoting behaviors in convalescent patients with ACI after thrombolytic therapy were analyzed.Results The HPLPⅡscores of patients with moderate and high degree of uncertainty in illness,general social support and low level of self-efficacy were significantly lower than those with low degree of uncertainty in illness,satisfactory social support and medium and high level of self-efficacy,with a statistical significant difference(P<0.05).There was no statistical significant difference in HPLPⅡscores of convalescent patients with ACI after thrombolytic therapy(P>0.05).Multiple linear regression analysis showed that moderate and high degree of uncertainty in illness,general social support and low level of self-efficacy were the influencing factors of low health-promoting behaviors in convalescent patients with ACI after thrombolytic therapy(P<0.05).Conclusion Moderate and high degree of uncertainty in illness,general social support and low level of self-efficacy are the influencing factors of low health-promoting behaviors in convalescent patients with ACI after thrombolytic therapy.

关 键 词：急性脑梗死恢复期 健康促进行为 疾病不确定感 社会支持 自我效能 

分 类 号：R743.33[医药卫生—神经病学与精神病学]