急性脑梗死患者溶栓治疗后疾病感知与行为改变的关系分析

Relationship Between Illness Perception and Behavior Change After Thrombolysis in Patients with Acute Cerebral Infarction

目的分析急性脑梗死(ACI)患者溶栓治疗后疾病感知与行为改变的关系。方法选取2019年4月至2021年2月商丘市第一人民医院收治的100例ACI患者作为研究对象。所有患者均接受溶栓治疗及3个月随访。采用脑卒中行为改变问卷(SBCI)评估患者行为改变情况;同时采用简易疾病感知问卷(BIPQ)评估患者疾病感知情况;调查并记录患者一般资料,分析不同资料特征及疾病感知水平ACI患者的SBCI评分,通过多元线性回归分析患者溶栓治疗后疾病感知与行为改变的关系。结果初中及以下受教育程度的ACI患者溶栓治疗后SBCI评分低于高中及以上受教育程度的患者,差异有统计学意义(P<0.05);其他不同特征资料的患者SBCI评分对比,差异无统计学意义(P>0.05);ACI患者溶栓治疗后疾病感知水平与行为改变呈负相关(r=-0.384,P<0.001);经多元线性回归分析显示,BIPQ评分高与ACI患者溶栓治疗后行为改变较差有关(P<0.05)。结论ACI患者溶栓治疗后疾病感知与行为改变呈负相关,高疾病感知水平的ACI患者溶栓治疗后行为改变较差。

Objective To analyze the relationship between illness perception and behavior change in patients with acute cerebral infarction(ACI)after thrombolysis.Methods A total of 100 ACI patients who were treated in Shangqiu First People’s Hospital of Henan Province from April 2019 to February 2021 were selected as the study subjects,all patients accepted thrombolysis in and were followed up for 3 months.The behavior change of patients was evaluated by stroke behavior change inventory(SBCI),the illness perception of patients was evaluated by brief illness perception questionnaire(BIPQ).The SBCI score of ACI patients with different data characteristics and illness perception levels were analyzed,the relationship between illness perception and behavior change of patients after thrombolysis was analyzed by multiple linear regression analysis.Results The SBCI score of ACI patients after thrombolysis with junior high school and below was lower than that of ACI patients with high school and above,the difference was statistically significant(P<0.05),there was no statistical significant difference in SBCI score of patients with other different characteristics data(P>0.05),the level of illness perception was negatively correlated with behavioral changes in ACI patients after thrombolysis(r=-0.384,P<0.001),the results of multivariate linear regression analysis showed that the high score of BIPQ was related to the poor behavior change of ACI patients after thrombolysis(P<0.05).Conclusion The illness perception negatively correlated with behavior change in ACI patients after thrombolysis,the behavior change of ACI patients after thrombolysis with high illness perception level is poor.