脑卒中患者卒中结局、健康信念与自我管理行为的相关性研究

发布时间：2018-04-02 01:14

本文选题：脑卒中　切入点：卒中结局　出处：《延边大学》2014年硕士论文

【摘要】：研究目的描述脑卒中患者的卒中结局、健康信念与自我管理行为水平；明确脑卒中患者健康信念与自我管理行为在一般人口学特征上的差异；探讨脑卒中患者卒中结局、健康信念与自我管理行为的关系。研究方法采用描述性相关性研究设计,方便抽样的方法,调查吉林省三所三级甲等医院的200名脑卒中患者。采用问卷调查法,用一般人口学特征调查表、卒中结局评价量表、健康信念模型量表(CHBMS)、脑卒中自我管理行为量表调查脑卒中患者的一般资料、卒中结局、健康信念与自我管理行为,并分析变量的影响因素及相关性。使用SPSS17.0软件包进行统计处理。研究结果 1.脑卒中患者卒中结局、健康信念及自我管理行为的现状 (1)研究对象神经功能受损领域范围水平在一个领域受损占54.7%,神经功能残损的严重程度水平在没有或极轻微的神经功能缺损49.5%,功能状态水平在BADL部分受限(3项),IADL部分依赖占45.8%。 (2)健康信念总得分为(118.00±13.64),研究对象的健康信念六个维度得分条目均分由高到低依次为健康动力(26.38±5.49)、自我效能(18.82±3.23)、感知到的益处(21.99±3.37)、感知到的严重性(22.33±4.63)、感知到的易感性(11.74±3.50)、感知到的障碍(16.93±3.27)。 (3)自我管理行为总得分为(147.7±22.66),各维度得分条目均分从高到低依次为情绪管理(16.94±4.80)、康复锻炼管理(22.54±6.43)、安全用药管理(16.02±4.32)、饮食管理(28.66±4.42)、生活起居管理(24.61±5.88)、社会功能及人际管理(14.97±4.29)、疾病管理(23.66±9.56)。 2.脑卒中患者健康信念、自我管理行为的单因素分析 (1)健康信念的One-Way ANOVA分析结果显示,健康信念在社会人口学特征分布上的差异有统计学意义(P0.05),主要分布在生活自理程度、性格、工作状况、家庭人均收入,伴随疾病种数不同的患者中。 (2)脑卒中患者自我管理行为的One-Way ANOVA分析结果显示,健康信念在社会人口学特征分布上的差异有统计学意义(P0.05),主要分布在文化程度、患病期间主要的照顾者、生活自理程度、性格、工作状况、伴随疾病种数不同的患者中。 3.脑卒中患者卒中结局、健康信念与自我管理行为的相关性脑卒中患者健康信念总分与自我管理行为总分及其4个维度(疾病管理、情绪管理、社会功能和人际管理、康复锻炼管理)呈正相关；脑卒中患者卒中结局总分与自我管理行为总分及其7个维度(疾病管理、用药管理、饮食管理、日常生活起居管理、情绪管理、社会功能和人际管理、康复锻炼管理)呈显著负相关。研究结论 1.脑卒中患者健康信念总体得分处于中等水平,其六个维度中,感知到的健康动力、自我效能的水平较高,感知到的易感性和感知到的障碍水平较低。 2.脑卒中患者自我管理行为总体处于中等水平,频率在“有时”与“经常”之间,7个维度中情绪管理、康复锻炼管理、安全用药管理、饮食管理、生活起居管理、维度水平较高,而社会功能及人际管理、疾病管理维度水平较低。 3.脑卒中患者健康信念的影响因素分析表明：生活自理程度、性格、工作状况、家庭人均收入,伴随疾病种数不同的脑卒中患者其健康信念有统计学差异。生活自理程度高、性格偏外向、在职的脑卒中患者,家庭人均收入高,伴随疾病种数少的其健康信念越好。 4.脑卒中患者自我管理行为的影响因素分析表明：文化程度、患病期间主要的照顾者、生活自理程度、性格、工作状况、伴随疾病种数的脑卒中患者其健康行为有统计学差异。脑卒中患者健康信念越高,卒中结局状态越好其自我管理行为越好。 5.卒中结局与自我管理行为得分呈显著负相关：健康信念与自我管理行为得分呈正相关。
[Abstract]:The purpose of the study is to describe the outcome of stroke patients with stroke, the behavior level of health belief and self management; clear difference between stroke patients health belief and self management behavior in the general demographic characteristics; to investigate stroke outcome, relationship between health belief and self management behavior.
A descriptive correlational design was adopted, the convenient sampling method, 200 patients with stroke in Jilin Province three three hospitals. Using the method of questionnaire survey, with the general demographic characteristics questionnaire, stroke outcome scale, health belief model scale (CHBMS), stroke self management behavior of general information quantity table the investigation of patients with stroke on stroke outcome, health belief and self management behavior, and analyze the impact factors of variation and correlation. SPSS17.0 software package was used for statistical processing.
Research results
The status of stroke outcome, health belief and self management behavior in 1. stroke patients
(1) the range of neurological impairment in one field was 54.7%, the severity of neurological impairment was 49.5% in the field, and the functional status was partially restricted in BADL (3 items), while IADL was partially dependent on 45.8%..
(2) the total score of health belief (118 + 13.64), the object of study of health beliefs of six dimensions scores were ranked from high to low as healthy power (26.38 + 5.49), self-efficacy (18.82 + 3.23), perceived benefits (21.99 + 3.37), perceived severity (22.33 + 4.63), perceived susceptibility (11.74 + 3.50), perceived barriers (16.93 + 3.27).
(3) the total score of self-management behavior (147.7 + 22.66), the score of item score from high to low is emotional management (16.94 + 4.80), management of rehabilitation exercise (22.54 + 6.43), management of drug safety (16.02 + 4.32), diet management (28.66 + 4.42), living in management (24.61 + 5.88), social function and interpersonal relationship management (14.97 + 4.29), disease management (23.66 + 9.56).
A single factor analysis of health belief and self management behavior in 2. stroke patients
(1) the One-Way ANOVA analysis of health belief showed that the difference of health belief in the distribution of social demographic characteristics was statistically significant (P0.05), mainly in the degree of self-care, personality, work status, family income per capita, and the number of patients with different diseases.
(2) One-Way ANOVA analysis results of cerebral stroke patients self management behavior showed that there were statistically significant differences in the health belief in social demographic characteristics of the distribution (P0.05), mainly in the cultural level, during the prevalence of primary caregivers, working condition of self-care, personality, and concomitant disease in patients with different species.
Relationship between health belief and self management behavior in stroke patients with 3. stroke
Self management behavior and health belief of cerebral stroke patients total score and 4 dimensions (disease management, emotional management, interpersonal function and social management, rehabilitation management) are positively correlated; and 7 dimensions and self management behavior and the outcome of stroke patients with stroke score (total score of disease management, medication management, catering management, daily life management, emotional management, social function and interpersonal management, exercise management) is a significant negative correlation.
research conclusion
1., the overall score of health belief in stroke patients is at a moderate level. In six dimensions, perceived health motivation and self-efficacy level are high, and perceived susceptibility and perceived barriers are relatively low.
2. stroke patients self management behavior overall in the middle level, the frequency in the "sometimes" and "often" between the 7 dimensions of emotional management, management of rehabilitation exercise, medication safety management, catering management, life management, dimension level is higher, and the social function and interpersonal dimension level management, disease management is low.
The influence factors of the 3. stroke patients health belief analysis shows that the working condition of self-care, personality, family income per capita, with statistical difference between different species of disease of patients with stroke health beliefs. Self-care level is high, extrovert, stroke patients in the family per capita income high, with few kinds of diseases the health belief is better.
Influence factors of self management behavior of 4. stroke patients shows that the culture degree, during the prevalence of primary caregivers, working condition of self-care, personality, with the disease of patients with stroke in health behaviors have significant difference. The health belief of stroke patients is higher, the better the outcome of stroke state self management behavior better.
5. the outcome of stroke was negatively correlated with the score of self management behavior: health belief was positively correlated with self management behavior score.

【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R473.74

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