商丘市缺血性脑卒中中青年患者二级预防依从性及影响因素调查  

Compliance and influencing factors of secondary prevention in young and middle-aged patients with ischemic stroke in Shangqiu City

作　　者：刘春霞[1] 王春玉[1] 范洁[1] 田冬梅 汪晶晶 袁艳华 常素霞 LIU Chunxia;WANG Chunyu;FAN Jie;TIAN Dongmei;WANG Jingjing;YUAN Yanhua;CHANG Suxia(Shangqiu First People‘s Hospital,Shangqiu 476100,China;Shangqiu Central Hospital;Shangqiu Fourth People’s Hospital)

机构地区：[1]商丘市第一人民医院,河南商丘476100 [2]商丘市中心医院 [3]商丘市第四人民医院

出　　处：《华南预防医学》2023年第12期1512-1516,共5页South China Journal of Preventive Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20191489)。

摘　　要：目的探讨分析商丘市缺血性脑卒中中青年患者二级预防依从性及影响因素。方法采用随机抽样方法抽取2022年4月—2023年4月在商丘市3家三级医院神经内科住院诊治的中青年缺血性脑卒中患者为研究对象,采用描述性分析方法分析二级预防依从性达标情况,并采用单、多因素分析方法分析其影响因素。结果本研究共纳入1493例患者,失访104例,最终纳入1389例;年龄为18~59岁,平均年龄为(50.83±6.27);男性794例,女性595例。二级预防依从性达标率48.52%(674/1389)。用药、血压、血糖达标率较高,分别为66.16%、62.63%、61.41%,体育锻炼、吸烟、健康饮食的达标率较低,分别为46.44%、46.00%、40.03%。多因素logistic回归分析结果显示年龄(OR=1.957)、文化程度(OR=1.526)、婚姻状况(OR=1.279)、职业(OR=1.327)、社会支持(OR=2.364)、压力知觉(OR=2.521)是中青年缺血性脑卒中患者二级预防依从性的影响因素。结论商丘市中青年缺血性脑卒中患者的二级预防依从性达标率不高,可针对年龄、文化程度、婚姻状况、职业、社会支持、压力知觉等因素积极采取相应措施以提高中青年缺血性脑卒中患者的二级预防依从性。Objective To explore and analyze the compliance of secondary prevention in young and middle-aged patients with ischemic stroke in Shangqiu City and its influencing factors.Methods Young and middle-aged patients with ischemic stroke admitted to the department of neurology in three tertiary hospitals in Shangqiu City between April 2022 and April 2023 were selected as the study population using a random sampling method.Descriptive analysis was employed to assess compliance with secondary prevention,while univariate and multivariate logistic regression analyses were conducted to identify influencing factors.Results A total of 1493 patients were enrolled in this study,with 104 lost to follow-up and eventually including 1389 participants.The mean age was(50.83±6.27)years,ranging from 18 to 59 years.Among them,there were 794 males and 595 females.The compliance rate for secondary prevention was found to be 48.52%(674/1389).The compliance of medication,blood pressure,and blood glucose were 66.16%,62.63%,and 61.41%,respectively,while those of physical exercise,smoking,and healthy diet were 46.44%,46.00%,and 40.03%,respectively.Multivariate logistic regression analysis revealed that age(OR=1.957),educational level(OR=1.526),marital status(OR=1.279),occupation(OR=1.327),social support(OR=2.364),and stress perception(OR=2.521)significantly influenced the compliance of secondary prevention in young and middle-aged patients with ischemic stroke.Conclusions The compliance rate of secondary prevention is not high in young and middle-aged patients with ischemic stroke in Shangqiu City.Appropriate measures can be taken to improve the compliance of secondary prevention in young and middleaged patients with ischemic stroke according to factors such as age,educational level,marital status,occupation,social support,and stress perception.

关 键 词：中青年 缺血性脑卒中 二级预防 依从性 影响因素 

分 类 号：R54[医药卫生—心血管疾病]