缺血性脑卒中复发病人静态行为潜在剖面及影响因素分析  

Latent profile and influencing factors of static behaviors in patients with recurrent ischemic stroke

作　　者：潘玉青 朱晓彤 程思远 沈海云 张伟 PAN Yuqing;ZHU Xiaotong;CHENG Siyuan;SHEN Haiyun;ZHANG Wei(Jingjiang College,Jiangsu University,Jiangsu 212000 China)

机构地区：[1]江苏大学京江学院,212000

出　　处：《全科护理》2025年第7期1189-1194,共6页Chinese General Practice Nursing

基　　金：全国大学生创新创业项目(国家级),编号:202413986004Z。

摘　　要：目的:分析静态行为与缺血性脑卒中复发之间的关联性,并探讨缺血性脑卒中复发病人静态行为潜在类别及影响因素。方法:多中心便利抽样法选取214例缺血性脑卒中复发病人作为研究对象,收集病人一般资料及家庭支持量表、抑郁自评量表、中国成人静态行为问卷、社会支持评定量表、国际跌倒效能感简短版(FES-I)评分,分析静态行为时间与卒中复发的相关性,使用潜在剖面分析识别静态行为的类别,采用多元Logistic回归分析潜在类别的影响因素。结果:病人静态行为时间与复发间隔时间呈显著负相关(r=-0.528,P<0.001);复发性缺血性脑卒中病人静态行为可分为3个潜在类别;性别、家庭结构、复发次数、身体活动、工作性质是潜在类别的影响因素。结论:卒中复发病人静态行为表现模式具有异质性,建议卫生保健人员及时识别病人静态行为模式,给予有针对性的干预措施降低卒中复发率。Objective:To analyze the association between static behaviors and recurrent ischemic stroke,and to probe into the latent categories and influencing factors of static behaviors in patients with recurrent ischemic stroke.Methods:A total of 214 patients with recurrent ischemic stroke were selected as research objects by multi-center convenience sampling method.General data,family support scale,Self-rating Depression Scale,Chinese Adult Static Behavior Questionnaire,Social Support Rating Scale,and International Fall Efficacy Short Version(FES-I)score were collected to analyze the correlation between static behavior time and recurrent stroke.Potential profile analysis was used to identify the categories of static behavior,and multiple Logistic regression was used to analyze the influencing factors of potential categories.Results:There was a significant negative correlation between static behavior time and relapse interval(r=-0.528,P<0.001).The static behavior of patients with recurrent ischemic stroke can be divided into three potential categories;Gender,family structure,number of relapses,physical activity,and work nature were the influencing factors of potential categories.Conclusion:The static behavior pattern of recurrent stroke patients is heterogeneous.It is suggested that health personnel should identify the static behavior pattern of patients in time and give targeted intervention measures to reduce the recurrence rate of stroke.

关 键 词：脑卒中 复发 静态行为 潜在类别 影响因素 

分 类 号：R473.5[医药卫生—护理学]