首发脑卒中患者疾病知识、自我效能与自我管理行为的相关性研究  

Correlation Between Disease Knowledge,Self-Efficacy and Self-Management Behavior in Patients with First-Episode Stroke

作　　者：周均 何春渝 杨惠[2] 杨薪瑶 郑思婷 孔叶 刘蕾 杨嘉欣 陈巧灵 Zhou Jun;He Chunyu;Yang Hui;Yang Xinyao;Zheng Siting;Kong Ye;Liu Lei;Yang Jiaxin;Chen Qiaoling(School of Nursing,Chengdu Medical College,Chengdu 610083,China;Department of Neurology,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China;Operating Room,Jiajiang County People's Hospital,Leshan 614100,China)

机构地区：[1]成都医学院护理学院,成都610083 [2]成都医学院第一附属医院神经内科,成都610500 [3]夹江县人民医院手术室,乐山614100

出　　处：《成都医学院学报》2023年第1期91-96,共6页Journal of Chengdu Medical College

基　　金：四川省科技厅重点研发项目(No:20ZDYF2400)。

摘　　要：目的 探讨首发脑卒中患者卒中疾病知识、自我效能与自我管理行为的相关性。方法 选取2020年9月至2021年4月于成都市两所三级甲等医院就诊的362例首发脑卒中患者为研究对象,采用一般资料问卷、脑卒中知识问卷、慢性病管理自我效能量表、脑卒中患者自我管理行为评定量表进行问卷调查。结果 首发脑卒中患者卒中知识得分为(21.39±5.58)分,慢性病管理自我效能得分为(7.94±0.90)分,自我管理行为得分为(180.05±17.02)分,均处于中等水平。自我管理行为与卒中知识、自我效能均呈正相关(r=0.460,P<0.01)、(r=0.432,P<0.01);多元逐步回归分析显示,卒中类型、患者职业、自我效能和疾病知识是首发脑卒中患者自我管理行为的独立影响因素(P<0.001)。结论 首发脑卒中患者卒中知识、慢性病管理自我效能、自我管理行为均处于中等水平,自我管理行为与卒中知识、慢性病管理自我效能均呈正相关,即自我效能或卒中知识越高,自我管理行为越好,建议医护人员可以通过提高首发脑卒中患者卒中疾病知识、自我效能来提高其自我管理行为。Objective To explore the correlation between stroke disease knowledge,self-efficacy and selfmanagement behavior in patients with first-episode stroke. Methods A total of 362 first-episode stroke patients who were treated in two tertiary A-level hospitals in Chengdu from September 2020 to April 2021 were selected as the research objects.General information questionnaire,stroke knowledge questionnaire,Self-Efficacy Scale for Chronic(SSC),and stroke patients’ self-management behavior rating scale were used for the questionnaire survey. Results The patients with firstepisode stroke scored(21.39±5.58) in stroke knowledge,(7.94±0.90) in SSC,and(180.05±17.02) in self-management behavior,all of which were at the medium level. Self-management behavior was positively correlated with stroke knowledge and self-efficacy(r=0.460,P<0.01),(r=0.432,P<0.01). Multivariate stepwise regression analysis showed that stroke type,patients’ occupation,self-efficacy and disease knowledge were independent factors influencing self-management behavior in patients with first-episode stroke(P<0.001). Conclusion Stroke knowledge,chronic disease management self-efficacy,and self-management behavior of patients with first-episode stroke are at a medium level. Self-management behavior is positively correlated with stroke knowledge and self-efficacy of chronic disease management,that is,the higher the selfefficacy or stroke knowledge,the better the self-management behavior. It is recommended that medical staff can improve the self-management behavior of patients with first-episode stroke by improving their knowledge of stroke disease and selfefficacy.

关 键 词：脑卒中 疾病知识 自我效能 自我管理 相关性 

分 类 号：R743.3[医药卫生—神经病学与精神病学]