广东省居民脑卒中院前延迟行为意向现状及影响因素研究  

Stroke Pre-hospital Delay Behavioral Intention and Associated Factors in Guangdong Residents

作　　者：孙兴兰 黄奕敏 王芬 秦凤银 张绮珊 韩郭茵 赖锦佳 谭益冰[1] SUN Xinglan;HUANG Yimin;WANG Fen;QIN Fengyin;ZHANG Qishan;HAN Guoyin;LAI Jinjia;TAN Yibing(School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou 510006,China)

机构地区：[1]广州中医药大学护理学院,广东省广州市510006

出　　处：《中国全科医学》2022年第13期1612-1617,1635,共7页Chinese General Practice

基　　金：广东省哲学社会科学“十三五”规划2020年度学科共建项目(GD20XGL02);2022年度广东省中医药局科研项目(20221127)。

摘　　要：背景卒中严重影响患者的生命质量,给社会、患者家庭及个人带来沉重负担。尽管国家大力推进卒中防治工作,然而我国卒中院前延迟现状仍不容乐观。脑卒中院前延迟行为意向一定程度上能预测患者卒中院前延迟的可能性,但对其影响因素的研究却少见报道。目的调查居民脑卒中院前延迟行为意向现状并探讨其影响因素。方法2021年7—9月,采用方便抽样法,选取在广州中医药大学护理学院的“三下乡”服务点接受义诊服务的居民700例进行调查。采用一般资料调查问卷、中国版10项目大五人格量表、领悟社会支持量表、简易应对方式问卷和脑卒中院前延迟行为意向量表调查广东省居民的基本特征、人格特质、社会支持、应对方式和脑卒中院前延迟行为意向状况。采用多元线性回归分析脑卒中院前延迟行为意向的影响因素。结果共回收有效问卷645份(92.1%)。645例调查对象中,312例(48.4%)对卒中一无所知,262例(40.6%)听说过“中风120”口诀。广东省社区居民卒中院前延迟行为意向得分为(71.3±18.7)分,其症状警觉维度得分高于常模,不就医行为合理化维度、症状归因维度、习惯反应样式维度、急救系统使用维度的得分及脑卒中院前延迟行为意向总分低于常模,差异有统计学意义(P<0.001)。多元线性回归结果显示年龄、与伴侣同住、“中风120”口诀知晓情况、开放性人格得分、情绪稳定性人格得分、社会支持得分和消极应对得分是脑卒中院前延迟行为意向的影响因素(P<0.05)。结论广东省居民卒中院前延迟行为意向较差,对卒中症状认知不足,社区应加强“中风120”的宣教力度,针对居民个体差异开展个性化、多元化卒中教育模式,以有效提高居民卒中院前延迟行为意向水平,降低卒中诊治延迟发生率。Background Stroke severely influences the quality of human life,and imposes a great burden on the society,patients and their families.Although China has vigorously promoted the prevention and treatment of stroke,the prevalence of pre-hospital delay in stroke patients is still relatively high.The stroke pre-hospital delay behavioral intention may predict the possibility of stroke pre-hospital delay to some extent,but theassociated factors have rarely been studied.Objective To investigate the stroke pre-hospital delay behavioral intention and associated factors in residents.Methods Convenience sampling was used to select 645 Guangdong residents as the participants from July to September 2021.The Demographic Information Questionnaire developed by us,Chinese version of Ten-Item Personality Inventory,Chinese version of Perceived Social Support Scale,Simplified Coping Style Questionnaire and Stroke Pre-Hospital Delay Behavior Intention scale(SPDBI)were used in a survey for understanding the participants'personality characteristics,social support,coping styles and stroke pre-hospital delay behavioral intention.Multiple linear regression was used to explore the influential factors of stroke pre-hospital delayed behavioral intention.Results A total of 645 valid questionnaires were collected(92.1%).Of the 645 respondents,312(48.4%)knew nothing about stroke,and 262(40.6%)had heard of the formula"stroke 120".The stroke pre-hospital delay behavior intention of the participants was in the intermediate level〔mean SPDBI score(71.3±18.7)〕.Compared with the Chinese norm,these respondents had higher mean dimension score of warning of stroke symptoms,but lower mean total score of SPDBI,and lower mean scores of four dimensions(rationalization of non-healthcare seeking behavior,symptom attribution,habitual response style,emergency system use)(P<0.001).Multiple linear regression analysis indicated that age,living with a spouse,awareness level of the"stroke 120"mantra(through assessing symptoms to early identify stroke),extraversio

关 键 词：卒中 院前延迟行为意向 影响因素分析 广东 

分 类 号：R743[医药卫生—神经病学与精神病学]