中青年脑卒中患者自我效能、家庭功能与健康行为的相关性研究

发布时间：2018-05-06 00:13

本文选题：脑血管意外 + 自我效能　；参考：《南昌大学》2015年硕士论文

【摘要】：目的:描述中青年脑卒中患者的自我效能、家庭功能及健康行为现状,分析其影响因素,并进一步探讨中青年脑卒中患者的自我效能、家庭功能与健康行为之间的相关性。方法:采用横断面调查研究设计,于2014年6月至12月对南昌市两所三级甲等医院(江西省人民医院、南昌大学第一附属医院)住院符合纳入标准的105例中青年脑卒中患者进行面对面调查,利用健康促进生活方式量表Ⅱ(HPLPII)、一般自我效能量表(GSES)、家庭亲密度和适应性量表中文版(FACES II-CV)分别测定患者自我效能、家庭功能及健康行为水平情况,将收集的资料利用SPSS19.0统计软件包进行统计处理。结果:(1)女性中青年脑卒中患者健康行为得分高于男性(p0.05);中年脑卒中患者的健康行为高于青年脑卒中患者(p0.05);已婚患者健康行为得分高于离异或丧偶患者(p0.05);大学及以上文化程度患者健康行为得分高于小学及以下患者(p0.05);人均收入高和医保力度大的中青年脑卒中患者健康行为得分高于其他组(p0.05)。(2)患者健康行为与自我效能、家庭亲密度和家庭适应性三者呈正相关。(3)中青年脑卒中患者自我效能处于中低水平,低效能水平的占34.3%,中效能水平的的占52.4%,高效能水平的的占13.3%。(4)中青年脑卒中患者家庭亲密度得分75.73±5.50,家庭适应性得分为48.74±5.92,亲密度高于国内常模(64.9±8.4)得分,适应性低于国内常模(50.9±6.2)得分(p0.05)。(5)中青年脑卒中患者健康行为总体水平处于“有时”与“经常”之间,其各个维度中,人际关系维度水平最高,健康责任和运动维度水平最低。(6)多因素回归分析影响中青年脑卒中患者健康行为的关键因素为:自我效能(能单独解释变异的22.3%)、家庭适应性、人均收入和年龄。结论:(1)中青年脑卒中患者自我效能处于中低水平,家庭亲密度功能未见不良,家庭适应性功能出现不良。(2)年龄大、人均收入高、家庭适应性越好、自我效能水平越高的中青年脑卒中患者的健康行为越好。(3)应加强对男性、年龄小、文化程度低、离异或丧偶、人均收入低和医保力度小患者的宣教和指导。
[Abstract]:Objective: to describe the status quo of self efficacy, family function and healthy behavior in young and middle-aged stroke patients, and analyze the influencing factors, and further explore the correlation among self efficacy, family function and healthy behavior of young and middle-aged stroke patients. Methods: two Grade 3A hospitals (Jiangxi Provincial people's Hospital) in Nanchang City from June to December 2014 were studied by cross-sectional investigation and design. The first affiliated Hospital of Nanchang University) conducted a face-to-face investigation of 105 young and middle-aged stroke patients who met the inclusion criteria. The patients' self-efficacy, family function and healthy behavior level were measured by HPLPIIP, GSES and FACES II-CVV, respectively. The collected data is processed by SPSS19.0 statistical software package. Results: the scores of health behavior of young and middle-aged women with stroke were higher than those of men (p 0.05); the health behavior of middle age stroke patients was higher than that of young stroke patients; the scores of married patients were higher than those of divorced or widowed patients; the scores of healthy behavior of middle and young stroke patients were higher than those of divorced or widowed patients; the scores of healthy behaviors in middle age stroke patients were higher than those in young stroke patients. The scores of health behavior of patients with upper education level were higher than those of patients with primary school and below, and the scores of health behavior of young and middle-aged stroke patients with high per capita income and strong health insurance were higher than those of other groups. There was a positive correlation between family affinity and family adaptability. The family cohesion score of young and middle-aged stroke patients was 75.73 卤5.50, and the family adaptability score was 48.74 卤5.92, which was higher than that of domestic norm (64.9 卤8.4). The overall level of health behavior of young and middle-aged stroke patients was between "sometimes" and "often", and the interpersonal relationship dimension was the highest in each dimension. Multivariate regression analysis showed that the key factors influencing health behavior of young and middle-aged stroke patients were self-efficacy (22.3%), family adaptability, per capita income and age. Conclusion: (1) Self-efficacy of young and middle-aged stroke patients is in low and middle level, family affinity function is not bad, family adaptive function is poor. (2) Age, per capita income is high, family adaptability is better. The better health behavior of young and middle-aged stroke patients with higher self-efficacy should strengthen the education and guidance to male patients with low age, low education, divorce or widowed spouse, low per capita income and small health care.
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.74

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