脑卒中病人自我护理能力的调查研究

Investigation on self-care agency of cerebral apoplexy patients

[目的]了解脑卒中病人的自我护理能力及其相关影响因素。[方法]采用自我护理能力测定量表(ESCA)中文版对110例无意识及言语障碍的脑卒中病人进行调查。[结果]ESCA各维度得分由低到高依次为:自护责任感、自我概念、自护技能、健康知识水平,对自护责任感有影响的是年龄、文化程度,对自我概念有影响的是性别,对自护技能和健康知识水平有影响的是职业。[结论]脑卒中病人自我护理能力水平较低,护理人员应重视不同年龄、文化程度及职业的影响,增强病人信心,提高病人自我护理能力。

Objective： To know about self-care agency of cerebral apoplexy patients and its related influencing factors. Methods： A total of 110 cerebral apoplexy patients without conscious disturbance and speech disorder were selected and investigated by adopting Chinese version of ESCA. Results： The scores of all dimensions of ESCA from low to high in order were self - care consciousness of responsibility, self concept, self- care skills, health knowledge level. The influencing factors of self- care consciousness of responsibility were age and education degree. The influencing factor of self concept was gender. And influencing factors of self - care skills and health knowledge level was occupation. Conclusion： The level of self-care agency of cerebral apoplexy patients was lower. Nursing staffs should think highly of the influence of different ages, different education degrees and occupations on self-care agency of cerebral apoplexy patients, so as to enhance the confidence of patients and to enhance their self-care agency.