摘要
目的了解脑卒中患者预防跌倒的知-信-行情况，为开展有针对性的防跌倒教育提供依据。方法选取96例脑卒中患者，采用自行设计的调查问卷对其预防跌倒知识、态度、行为情况进行调查。结果共发放调查问卷96份，回收有效问卷96份，有效回收率为100％。脑卒中患者预防跌倒的态度和信心得分为（4．11±0．73）分，高于防跌倒知识得分（3．70±0．71）分和行为得分（3．07±0．74）分。女性脑卒中患者知识、行为得分分别为（4．24±0．68），（3．37±0．58）分，明显高于男患者知识、行为得分（3．05±0．24），（2．16±0．31）分，不同性别患者得分比较，差异有统计学意义（t值分别为7．961，6．984；P〈0．01）。≤70岁的脑卒中患者知识、态度、行为得分分别为（3．94±0．32），（3．67±0．35），（1．93±0．57）分，≥70岁的脑卒中患者知识、态度、行为得分分别为（3．04±0．81），（4．35±0．73），（3．89±0．67）分，不同年龄患者得分比较，差异有统计学意义（t值分别为2．478，2．146，4．951；P〈0．05）。学历在专科以下脑卒中患者知识、态度、行为得分分别为（3．77±0．43），（3．99±0．33），（3．46±0．62）分，学历在专科及以上脑卒中患者知识、态度、行为得分分别为（4．23±0．43），（3．45±0．32），（2．78±0．56）分，两组患者得分比较差异有统计学意义（t值分别为2．783，1．721，2．432；P〈0．05）。结论应在脑卒中患者中有针对性地开展防跌倒教育，同时考虑患者不同学历及情况给予相应的跌倒预防指导。
Objective To understand the status quo of knowledge, attitude and behavior on fall prevention among stroke patients, so as to provide the basis for targeted prevention education. Methods Totals of 96 stroke patients were recruited and investigated with self-designed questionnaire on their knowledge, attitude and behavior for falls prevention. Results Ninety-six questionnaires were issued and all were returned with a effective responsive rate of 100%. The score of fall prevention attitude and confidence was （4. 11 ± 0. 73 ）, which was higher than the score of falls prevention knowledge （ 3.70 ± 0. 71 ） and behavior （ 3.07 ± 0. 74 ）. Knowledge and behavior scores of female patients were significantly higher than that of male patients [ （4. 24 ± 0. 68） vs （3.05 ±0. 24）, （3.37 ±0. 58） vs （2. 16 ±0. 31）, t =7. 961,6. 984, respectively; P 〈0. 01 ]. The knowledge, attitude and behavior scores of stroke patients with less than 70 years old respectively were （3.94 ± 0. 32）, （ 3.67 ±0. 35 ） and （ 1.93 ±0. 57 ）, and that of stroke patients with over 70 years old were （ 3.04 ± 0. 81 ）, （ 4. 35 ± 0. 73 ）, and （ 3.89 ±0. 67 ）, and the differences were statistically significant （ t= 2. 478, 2. 146,4. 951 ;P 〈 0. 05）. The knowledge, attitude and behavior scores of patients without bachelor＇s degrees respectively were （3.77 ± 0.43 ）, （ 3.99 ± 0. 33 ） and （ 3.46 ± 0. 62 ）, and that of patients with bachelor＇s degrees respectively were （4. 23 ± 0. 43 ）, （ 3.45± 0. 32 ） and （ 2. 78 ± 0. 56 ）, and significantly differences were found between them （ t = 2. 783, 1. 721,2. 432; P 〈 0.05 ）. Concluions Development of targeted education on falls prevention is necessary for stroke patients, and different education degree and situation of patients should be considered.
出处
《中华现代护理杂志》
2014年第8期869-871,共3页
Chinese Journal of Modern Nursing
基金
江苏大学医学部资助项目（江大科技JLY20120018）
关键词
卒中
跌倒
健康教育
知-信-行
Stroke
Fall
Health education
Knowledge, attitude and behavior
