围绝经期女性高血压伴脑梗死患者自我效能水平与其生活质量的关系探讨  

The relationship between self-efficacy level and quality of life in perimenopausal female patients with hypertension associated with cerebral infarction

作　　者：王一峰 凡欣欣 叶佳妮 傅晨娇 黄赣英 WANG Yi-feng;FAN Xin-xin;YE Jia-ni;FU Chen-jiao;HUANG Gan-ying(The Fourth Clinical School of Zhejiang Chinese Medicine University,Hangzhou First People's Hospital,Hangzhou,Zhejiang 310000,China)

机构地区：[1]浙江中医药大学第四临床医学院杭州市第一人民医院,浙江杭州310000

出　　处：《中国妇幼保健》2024年第1期153-157,共5页Maternal and Child Health Care of China

基　　金：浙江省杭州市医药卫生科技项目(A20220146)。

摘　　要：目的分析围绝经期女性高血压伴脑梗死患者的自我效能水平与其生活质量的关系。方法将2017年2月—2022年12月杭州市第一人民医院收治的96例高血压并脑梗死围绝经期患者纳为观察对象,定义为观察组,选择同期于该院救治的96例高血压并脑梗死患者为对照组,以慢性病自我效能量表评估患者自我效能情况,生存质量用脑卒中专门化生存质量量表(SS-QOL)评估,分析自我效能与生活质量之间的关联。结果观察组自我效能总分为(6.28±1.48)分,低于对照组的(6.84±1.54)分,情绪低落维度得分(5.03±1.07)分、活动维度得分(7.53±1.13)分、疲劳得分(6.35±1.31)分、不舒服或疼痛(5.11±1.08)分、现有的其他健康问题(6.04±1.13)分、能完成疾病管理所需求的任务与活动得分(6.25±1.03)分、能遵医服药且能做一些其他事情维度(7.32±1.14)分,均分别低于对照组的(5.84±1.24)分、(8.10±1.02)分、(7.65±1.14)分、(6.84±1.31)分、(6.68±1.00)分、(7.25±1.16)分、(8.64±1.02)分,差异均有统计学意义(均P<0.05)。观察组SS-QOL总分为(154.56±10.24)分,低于对照组的(187.91±11.08)分,语言、视力、性格维度评分均低于对照组[(20.14±1.25)分vs.(21.85±1.14)分、(12.57±2.03)分vs.(13.84±2.11)分、(8.94±2.17)分vs.(12.14±2.06)分],情绪、运动维度得分亦低于对照组[(16.54±6.47)分vs.(19.84±2.71)分、(22.05±2.46)分vs.(24.75±2.34)分],观察组家庭活动(6.71±1.12)分、社会活动(11.25±2.34)分、自理能力(20.34±3.15)分、工作能力(7.12±1.16)分及思维能力(11.03±1.35)分均分别低于对照组的(8.21±1.34)分、(18.64±2.02)分、(24.06±3.11)分、(9.43±1.06)分、(12.14±1.08)分。慢性病自我效能量表中各项及总分与生活质量均呈正相关性(P<0.05)。结论围绝经期高血压并脑梗死患者的自我效能及生活质量均较差,个体自我效能水平与生活质量呈正相关。Objective To analyze the relationship between the self-efficacy level and the quality of life in perimenopausal female patients with hypertension associated with cerebral infarction.Methods 96 patients with hypertension and cerebral infarction were treated from February 2017 to December 2022,defined as the observation group,selected 96 patients with hypertension and cerebral infarction treated in our hospital during the same period,evaluated self-efficacy of patients with chronic disease self-efficacy scale,quality of survival with stroke specialized quality of survival scale(SS-QOL),and analyzed the association between self-efficacy and quality of life.Results The total score of self-efficacy in the observation group(6.28±1.48)was lower than that in the control group(6.84±1.54),Low mood dimension score(5.03±1.07),activity dimension score(7.53±1.13),fatigue score(6.35±1.31),discomfort or pain(5.11±1.08),existing health problems(6.04±1.13),tasks and activity score(6.25±1.03),ability to follow medicine and do some other things(7.32±1.14),They were lower than the(5.84±1.24),(8.10±1.02),(7.65±1.14),(6.84±1.31),(6.68±1.00),(7.25±1.16),(8.64±1.02)points of the control group,The diferences were all statistically significant(P<0.05).The total SS-QOL score of the observation group(154.56±10.24)was lower than that of the control group(187.91±11.08),Language,vision and personality dimensions were lower than those of the control group[(20.14±1.25)vs.(21.85±1.14),(12.57±2.03)vs.(13.84±2.11),(8.94±2.17)vs.(12.14±2.06)],The scores of emotion and motor dimensions were also lower than those of the control group[(16.54±6.47)us.(19.84±2.71),(22.05±2.46)us.(24.75±2.34)],Observation group family activity(6.71±1.12),social activity(11.25±2.34),self-care ability(20.34±3.15),working ability(7.12±1.16)and thinking ability(11.03±1.35),All were lower than the control group(8.21±1.34)(18.64±2.02),(24.06±3.11),(9.43±1.06),and(12.14±1.08),respectively.All items and total scores in the chronic disease self

关 键 词：高血压 脑梗死 自我效能 围绝经期 生活质量 

分 类 号：R544.1[医药卫生—心血管疾病]