脑卒中幸存者体力活动现状及影响因素分析  

Current status and influencing factors of physical activity among stroke survivors

作　　者：许桂玲 王清[2] 张敏[2] 戴雨婷 夏莲子 史慧玲[3] XU Guiling;WANG Qing;ZHANG Min;DAI Yuting;XIA Lianzi;SHI Huiling(Department of Neurology,Gulou Clinical Medical College of Jiangsu University,Nanjing,Jiangsu,210008;Nursing Department,Gulou Hospital Affiliated to Medical School of Nanjing University,Nanjing,Jiangsu,210008;Department of Neurology,Gulou Hospital Affiliated to Medical School of Nanjing University,Nanjing,Jiangsu,210008)

机构地区：[1]江苏大学鼓楼临床医学院神经内科,江苏南京210008 [2]南京大学医学院附属鼓楼医院护理部,江苏南京210008 [3]南京大学医学院附属鼓楼医院神经内科,江苏南京210008

出　　处：《实用临床医药杂志》2024年第13期115-120,125,共7页Journal of Clinical Medicine in Practice

基　　金：江苏省南京市卫生科技发展重点项目(ZKX21030);江苏省老年健康科研项目面上课题(LKM2023024)。

摘　　要：目的探讨脑卒中幸存者体力活动(PA)现状及其影响因素。方法采用便利抽样法选取203例脑卒中幸存者作为研究对象,采用一般资料调查表、脑卒中康复自我效能量表、领悟社会支持量表、改良Rankin量表、国际体力活动问卷长卷、疲劳严重程度量表、欧洲五维健康量表进行问卷调查。基于健康生态学模型,采用分层多元线性回归分析探讨脑卒中幸存者PA的影响因素。结果通过代谢当量(MET)量化能量消耗,203例脑卒中幸存者每周PA能量消耗为693.0(0,1386.0)MET。分层多元线性回归分析结果显示,个人特质(卒中分期)、行为特点与心理(改良Rankin量表评分、疲劳严重程度、脑卒中康复自我效能)、人际网络(领悟社会支持-朋友支持维度)是脑卒中幸存者PA的主要影响因素(P<0.05),能解释55.5%的PA变异。结论脑卒中幸存者PA水平受到其所处健康生态系统中多维度、多层次复杂因素的影响,目前处于较低水平。医护人员可基于健康生态学模型,制订脑卒中幸存者PA综合提升策略,以进一步提高脑卒中幸存者PA水平,促进身体功能恢复。Objective To investigate the current status and influencing factors of physical activity(PA)among stroke survivors.Methods A total of 203 stroke survivors were selected as the research subjects using convenient sampling method.General information questionnaire,Stroke Self-efficacy Scale,Perceived Social Support Scale,Modified Rankin Scale,International Physical Activity Questionnaire-Long Form,Fatigue Severity Scale,and European Five-Dimension Health Scale were used for questionnaire survey.Based on the health ecological model,hierarchical multiple linear regression analysis was used to explore the influencing factors of PA among stroke survivors.Results Using metabolic equivalents(MET)to quantify energy expenditure,the weekly PA energy expenditure of 203 stroke survivors was 693.0(0,1386.0)MET.The results of hierarchical multiple linear regression analysis showed that personal traits(stroke staging),behavioral characteristics and psychology(Modified Rankin Scale score,fatigue severity,stroke recovery self-efficacy),and interpersonal networks(perceived social support-friend support dimension)were the main influencing factors of PA among stroke survivors(P<0.05),which could explain 55.5%of the variation in PA.Conclusion The level of PA among stroke survivors is influenced by multi-dimensional and multi-level complex factors in their health ecosystem,and it is currently at a low level.Healthcare professionals can formulate comprehensive strategies to improve PA among stroke survivors based on the health ecological model,aiming to further enhance the PA level of stroke survivors and promote physical function recovery.

关 键 词：脑卒中 体力活动 健康生态学模型 卒中后疲劳 社会支持 自我效能 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学] R319