代际支持视角下脑卒中失能患者就医行为的影响因素研究  

Exploring factors influencing healthcare-seeking behaviors in disabled stroke patients:an intergenerational support perspective

作　　者：俞月婷[1] 林一嫦[1] 舒美春[1] Yu Yueting;Lin Yichang;Shu Meichun(The First Affiliated Hospital of Wenzhou Medical University,Wenzhou Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第一医院,浙江温州325000

出　　处：《护理与康复》2024年第1期1-6,12,共7页Journal of Nursing and Rehabilitation

基　　金：浙江省医药卫生科技计划基金项目,编号2023KY896;温州市级科技计划项目,编号Y2023676。

摘　　要：目的研究脑卒中失能患者就医行为现状及主要影响因素,探讨代际支持对脑卒中失能患者就医行为的影响,为促进其合理就医行为提供理论依据。方法采用便利抽样法,于2023年1月至3月对608例脑卒中防治工程管理专项数据库中的患者进行网络问卷调查,问卷内容包括患者一般资料、失能程度、代际支持情况、就医行为现况4个方面,并使用多因素线性回归分析脑卒中失能患者就医行为的影响因素。结果608例脑卒中失能患者就医行为得分为(30.30±5.22)分、代际支持得分为(16.91±0.83)分。多因素线性回归分析结果显示,年龄、月收入、就医距离、子代陪护照料、就医接送、情感交流程度及情感交流频次为脑卒中失能患者就医行为的影响因素(P<0.05),可解释总变异的41.6%。结论脑卒中失能患者就医行为总体较为合理,代际照料支持和代际情感支持对脑卒中失能患者就医行为呈正向促进作用,应重点关注高龄、低收入水平、居住偏远地区的失能患者,同时制定合适的措施增加子女代际支持能力,以期改善患者就医行为。Objective This study aims to examine the current status and primary influencing factors of healthcare-seeking behaviors in disabled stroke patients and explore the impact of intergenerational support on their healthcare-seeking behaviors.The goal is to provide a theoretical foundation for promoting rational healthcare behaviors in this patient population.Methods A web-based questionnaire survey was conducted from January to March 2023 using the convenience sampling method on 608 patients in the special database system for the management of the stroke prevention and control project.The survey covered four aspects:patients'general information,degree of disability,intergenerational support,and current medical treatment behaviors.Multiple linear regression was employed to analyze the influencing factors of healthcare-seeking behaviors in disabled stroke patients.Results Among 608 stroke patients with disability,the scores were(30.30±5.22)for healthcare-seeking behaviors and(16.91±0.83)for intergenerational support.The multiple linear regression analysis revealed that age,monthly income,distance to medical care,intergenerational care,transportation to medical care,degree of emotional communication,and frequency of emotional communication were influencing factors for healthcare-seeking behavior in disabled stroke patients(P<0.05).These factors explained 41.6%of the total variance.Conclusion The overall healthcare-seeking behaviors of disabled stroke patients are reasonable,and intergenerational care support,as well as intergenerational emotional support,positively influence their healthcare behaviors.The elderly,low-income and remote patients should be given more attention.Additionally,implementing measures to enhance children's intergenerational support can improve the healthcare-seeking behaviors of disabled patients.

关 键 词：脑卒中 失能 就医行为 代际支持 影响因素 

分 类 号：R473.74[医药卫生—护理学]