乌鲁木齐市脑卒中合并高血压患者自我效能现状及影响因素分析  

Analysis of self-efficacy status and influencing factors in stroke patients with hypertension in Urumqi

作　　者：周慧玲 聂玉琴[2] 李云云 杨秀红[2] ZHOU Huiling;NIE Yuqin;LI Yunyun;YANG Xiuhong(College of nursing,Xinjiang Medical University,Urumqi,830011,China;The Second Affiliated Hospital of Xinjiang Medical University,Urumqi,830063,China)

机构地区：[1]新疆医科大学护理学院,乌鲁木齐830011 [2]新疆医科大学第二附属医院,乌鲁木齐830063

出　　处：《新疆医学》2024年第4期442-446,共5页Xinjiang Medical Journal

基　　金：新疆维吾尔自治区自然科学基金(项目编号:2021D01C357)。

摘　　要：目的探讨乌鲁木齐市脑卒中合并高血压患者的自我效能现状,并分析其影响因素。方法选取就诊于乌市某三甲医院神经诊疗中心脑卒中合并高血压的住院患者175例,采用一般资料调查表、改良Barthel指数评定量表(MBI)、脑卒中自我效能感问卷(SSEQ)分析患者的自我效能及影响因素。结果脑卒中合并高血压患者生活自理能力平均(66.30±29.06)分,处于轻中度功能障碍水平;自我效能得分(50.88±24.58)分,处于中等偏低水平;Pearson相关性分析自我效能与生活自理能力呈正相关(r=0.900)(P<0.01);多元线性回归分析示,文化程度和生活自理能力是患者自我效能的独立影响因素(P<0.05)。结论脑卒中合并高血压患者自我效能处于中等偏低水平,主要影响因素是文化程度和生活自理能力。应根据患者文化水平和功能现状进行心理教育,提高患者自我效能进而促进积极康复,提升卒中后生活质量。Objective To explore the status quo of self-efficacy of stroke patients with hypertension in Urumqi,and analyze its influencing factors.Methods 175 inpatients with stroke and hypertension were selected from a tertiary hospital in Urumqi,and their self-efficacy and influencing factors were analyzed by using general information questionnaire,modified Barthel Index Rating Scale(MBI),and Stroke self-efficacy Questionnaire(SSEQ).Results The average score of self-care ability in stroke patients with hypertension was(66.30±29.06),which was at the level of mild to moderate dysfunction;The self-efficacy score was(50.88±24.58),which was at a moderate to low level;Pearson correlation analysis showed a positive correlation between self-efficacy and self-care ability(r=0.900)(P<0.01);Multiple linear regression analysis showed that education level and self-care ability were independent influencing factors for patients'self-efficacy(P<0.05).Conclusion The self-efficacy of stroke patients with hypertension is at a medium to low level,and the main influencing factors are educational level and self-care ability.Psychological education should be conducted based on the cultural level and functional status of patients to improve their self-efficacy,promote active rehabilitation,and improve the quality of life after stroke.

关 键 词：脑卒中 高血压 自我效能 生活自理能力 影响因素 

分 类 号：R473.7[医药卫生—护理学]