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目的了解首发脑卒中患者健康行为状况并探讨分析其影响因素。方法应用健康促进生活方式量表Ⅱ(HPLPⅡ)、脑卒中自我效能量表(SSEQ中文修订版)、残疾接受度量表(ADS-R中文修订版),对127例首发脑卒中患者进行问卷调查。结果首发脑卒中患者的总体健康行为水平得分(117.99±12.81)分,与之对应的条目均分为(2.27±0.25)分,表明其健康行为处于中等偏下水平。多重逐步回归分析显示,自我效能、残疾接受度、医保类型、年龄是健康行为的影响因素。结论医护人员应注意首发脑卒中患者对自身的认知变化,注重提高患者的残疾接受度以及自我效能,以提高患者健康行为水平。此举对于减少患者脑卒中复发,改善患者及其家庭的生活状况有重要意义。
Objective To understand the health status of stroke patients and to analyze the influencing factors. Methods A total of 127 first-episode stroke patients were surveyed using the HPLP II, the Stroke Self-efficacy Scale (SSEQ Chinese version), and the Disability Acceptability Scale (ADS-R Chinese version). Results The overall score of healthy behavior of first stroke patients was (117.99 ± 12.81) points, and the corresponding items were all divided into (2.27 ± 0.25) points, indicating that their health behaviors were at lower level. Multiple stepwise regression analysis showed that self-efficacy, disability acceptance, health insurance type, and age were the influencing factors of health behaviors. Conclusion The medical staff should pay attention to the cognitive changes of patients with stroke in the first stroke, pay more attention to improving their disability acceptance and self-efficacy, so as to improve their health behavior. The move is of great importance to reduce the recurrence of stroke patients and improve the living conditions of patients and their families.