社区脑卒中病人生活质量、自理能力及自尊、自我效能的关系研究

Study on relationship among quality of life,self-care ability and self-esteem and self efficacy of community stroke patients

[目的]调查杭州市某社区脑卒中病人生活质量的总体情况并分析自我能力、自尊和自我效能对生活质量的影响。[方法]以一般情况问卷、生活质量评估量表、自理能力测定量表、一般自我效能感量表和自尊问卷对清波望江街道和天水武林街道下属18个社区中130例脑卒中病人进行问卷调查和分析。[结果]社区脑卒中病人生活质量和自尊较高,自理能力和自我效能偏低;自尊、自我效能和自理能力与生活质量总分呈正相关,但自我效能可解释脑卒中病人的生活质量的32%,加入自尊变量后,共同解释34%的生活质量,自我效能是脑卒中病人的有效预测变量。[结论]从提高自我效能感着手,间接提升其自尊,加强健康知识和技能的教育,可以有效提高社区脑卒中病人的生活质量。

Objective：To investigate the general situation of quality of life of stroke patients in a community in Hangzhou city,and to analyze the influence of self- ability,self- esteem and self- efficacy on the quality of life of strolce patients. Methods. A total of 130 cases of stroke patients in 18 communities subordinated in Qingbo Wangjiang street and Tianshui Wulin street by using general situation questionnaire, the quality of life evalua- tion scale,self - care ability determination scale, general self efficacy scale and self -esteem questionnaire. Re- sults ： The quality of life and self - esteem of community stroke patients were higher. Self - care ability and self - efficacy were lower. Self - esteem, self - efficacy and self - care ability were positively related to quality of life score. However,self- efficacy can explain 32% of the stroke patient＇s quality of life. To plus the self- esteem, together accounted for 34% of the quality of life. Self efficacy is an effective predictive variable of stroke pa- tients. Conclusion： From improving self - efficacy to enhance their self - esteem indirectly, to strengthen health education of knowledge and skills,can effectively improve the community stroke patients＇ quality of life.