脑卒中患者健康行为及影响因素归类分析

来源 :中华行为医学与脑科学杂志 | 被引量 : 0次 | 上传用户:mahuan616520
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目的:探讨脑卒中患者健康行为水平及其影响因素。方法:采用便利抽样的方法对458例脑卒中患者进行健康行为现状调查。基于格林模式,以调查对象健康行为水平的高低为因变量进行Logistic回归分析,以卡方检验中的特征性因素为自变量,从倾向因素、促进因素及强化因素等方面分析卒中患者健康行为水平的影响因素。结果:脑卒中患者健康行为得分为(14.50±3.90)分,处于中等水平,各维度得分由高到低依次为营养[(0.80±0.25)分],疾病管理[(0.60±0.26)分],人际关系[(0.57±0.33)分],服药依从性[(0.49±0.41)分]。Logistic多元回归分析结果显示:倾向因素中年龄(n OR=2.03,95%n CI=1.08~3.80)、高血压病史(n OR=2.35,95%n CI=1.16~4.76);促进因素中的社会资源配置高低(n OR=1.73,95%n CI=0.89~3.36)及强化因素中的家庭支持度(n OR=2.03,95%n CI=0.99~4.17)是影响卒中患者健康行为的重要因素。n 结论:脑卒中患者的健康行为水平有待提高,因此在提高患者健康水平时应注意不断完善相关的社区资源配置体系,注重家庭环境对患者的影响,重点关注高龄及有高血压病史的患者。“,”Objective:To investigate the current status and influencing factors of stroke patients.Methods:Using stratified sampling method, 458 stroke patients was investigated for the health behavior from October to December, 2015. Based on PROCEDE-PROCEED model, logistic regression analysis was conducted with the health behavior level of the subjects as the dependent variable, and the characteristic factors in the chi-square test as the independent variables to analyze the factors which influence the health behavior level of stroke patients from predisposing factors, enabling factors and reinforcing factors.Results:The health behavior score of stroke patients was (14.5±3.9), which was at medium level. The score of each dimension was nutrition (0.80±0.25), disease management (0.60±0.26), interpersonal relationship (0.57±0.33), and medication compliance (0.49±0.41). The multiple logistic regression analysis showed that the predisposition factors including age (n OR=2.03, 95%n CI=1.08-3.80) and history of hypertension(n OR=2.35, 95%=1.16-4.76), the enabling factors including the allocation of social resources (n OR=1.73, 95%n CI=0.89-3.36), and the reinforcing factors including family support (n OR=2.03, 95%n CI=0.99-4.17) were important factors which affect the health behavior of stroke patients.n Conclusion:The health behavior level of stroke patients need to be improved. The relevant community resource allocation system continuously, and focus on the impact of family environment and particularly the elderly and patients with a history of hypertension should be attentioned when improving the health behavior of patients.
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