中青年脑卒中患者健康素养水平及影响因素分析  

Health literacy level of young and middle-aged stroke patients and influencing factors analysis

作　　者：李君卓 阳佳家 刘光维[1] 赵勇[2] Li Junzhuo;Yang Jiajia;Liu Guangwei;Zhao Yong(Department of Neurology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400042,China;College of Public Health and Management,Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院神经内科,重庆400042 [2]重庆医科大学公共卫生与管理学院,重庆400016

出　　处：《中华现代护理杂志》2023年第13期1711-1716,共6页Chinese Journal of Modern Nursing

基　　金：重庆市科卫联合医学科研项目(2021MSXM045)。

摘　　要：目的了解中青年脑卒中患者健康素养并分析影响因素。方法采用便利抽样法,选取2020年11月—2022年5月在重庆医科大学附属第一医院神经内科ICU治疗的270例中青年脑卒中患者为研究对象。采用一般资料调查表、美国国立卫生研究院卒中量表、脑卒中患者健康素养量表对患者进行调查。采用二项Logistic回归分析探讨中青年脑卒中患者健康素养的影响因素。本研究共发放问卷270份,回收有效问卷266份,有效回收率为98.52%(266/270)。结果中青年脑卒中患者健康素养量表总分为(73.44±6.73)分,具备健康素养的患者占33.46%(89/266)。脑卒中患者健康素养量表中3个维度得分率由高到低依次为基本技能、健康生活方式与行为、基本知识和理念。二项Logistic回归分析结果显示,性别、文化程度、家庭月收入、自评医患沟通情况是中青年脑卒中患者健康素养的影响因素(P<0.01)。结论中青年脑卒中患者健康素养有待提高,男性、文化程度较低、家庭月收入较低及自评医患沟通不好或一般的中青年脑卒中患者的健康素养水平更需要关注和干预,应根据中青年脑卒中患者的特点做好其健康教育和健康促进工作。Objective To understand the health literacy of young and middle-aged stroke patients and analyze the influencing factors.Methods A total of 270 young and middle-aged stroke patients treated in ICU of Neurology Department of the First Affiliated Hospital of Chongqing Medical University from November 2020 to May 2022 were selected as the research objects by the convenient sampling method.The General Data Questionnaire,National Institutes of Health Stroke Scale and Stroke Patient Health Literacy Scale were used to investigate the patients.Binomial Logistic regression analysis was used to explore the influencing factors of health literacy in young and middle-aged stroke patients.A total of 270 questionnaires were sent out in this study,and 266 were effectively received,with the effective recovery of 98.52%(266/270).Results The total score of the health literacy scale for young and middle-aged stroke patients was(73.44±6.73),and the patients with health literacy accounted for 33.46%(89/266).The score rates of the three dimensions in Stroke Patient Health Literacy Scale from high to low were basic skills,healthy lifestyle and behavior and basic knowledge and concept.Binomial Logistic regression analysis showed that gender,educational level,monthly family income and self-rating doctor-patient communication were the influencing factors of health literacy in young and middle-aged stroke patients(P<0.01).Conclusions The health literacy of young and middle-aged stroke patients needs to be improved.The health literacy level of young and middle-aged male stroke patients with low education level,low family monthly income and poor or average self-rated doctor-patient communication needs more attention and intervention.Health education and health promotion should be done according to the characteristics of young and middle-aged stroke patients.

关 键 词：卒中 中青年 健康素养 影响因素 

分 类 号：R473.74[医药卫生—护理学]