摘要
目的探讨青年脑卒中患者的健康行为水平及其影响因素。方法采用健康促进生活方式评定量表Ⅱ（HPLPⅡ）、一般自我效能量表（GSES）、社会支持量表（SSRS）等，对106例18～45岁的住院青年脑卒中患者进行研究。结果青年脑卒中患者的总体健康行为水平不佳，均分为（114．38±20．13）分，83．0％的患者存在不健康的生活方式。健康行为各维度得分情况为自我实现和人际关系得分最高，得分最低的维度为健康责任和运动。多元回归分析显示，健康行为水平与自我效能水平、日常生活能力和社会支持情况显著相关．共解释了60．2％的健康行为变异量。结论青年脑卒中患者的健康行为亟待提高，医护人员在制订干预措施的同时，要注重患者自我效能、功能状况和社会支持水平的提高，以更好地改善其健康行为，减少复发。
Objective To investigate the current status and influencing factors of health behaviors in young stroke patients. Methods A total of 106 young stroke patients were recruited and investigated with Health-Promoting Lifestyle Profile Ⅱ （HPLPⅡ）,General Self-efficacy Scale（GSES）,Social Support Rating Scale（SSRS）,and Barthel Index（B1）. Results The mean score of health behavior was 114.38±20.13,83.0 percent of young stroke patients had unhealthy lifestyle. Among the six dimensions,spiritual growth and interpersonal relations scored highest,while health responsibility and physical activity scored lowest. Multiple regression analysis showed that self-efficacy,activity of daily living and social support were influencing factors of health behaviors,which could explained 60.2 percent of the variance. Conclusion The health behavior of young stroke patients needs to be improved. Health care workers should pay attention to enhancing patients＇ self-efficacy,activity of daily living and social supports when they design and implement nursing interventions,thereby to improve the patients＇ health behavior level and reduce stroke recurrence.
出处
《中华护理杂志》
CSCD
北大核心
2012年第1期58-61,共4页
Chinese Journal of Nursing
基金
天津市卫生局科技基金项目(编号:2011kz40)
关键词
脑血管意外
健康行为
Cerebrovascular Accident
Health Behavior
