脑卒中患者自我效能对自我行为管理和自理能力的影响

Impact of self-efficacy on self behavior management and self-care ability among stroke patients

目的：探讨脑卒中肢体运动功能障碍患者的自我效能水平对其自我行为管理和自理能力的影响。方法于2012年10月—2013年6月采用一般资料问卷、慢性病自我效能量表、自行设计的自我行为管理问卷、Barthel 指数量表,对120例住院进行肢体运动功能康复训练的脑卒中患者进行调查。结果本组患者自我效能得分为（8.07±1.90）分,不同家庭人均月收入患者的自我效能得分差异有统计学意义（F =5.16,P 〈0.05）。患者自理能力得分为（48.17±26.18）分,自我行为管理得分为（75.50±19.67）分,自我效能水平不同的患者之间,其自理能力得分和自理能力程度、自我行为管理得分和依从程度的差异均有统计学意义（P〈0.05）,随着自我效能水平的提高,自理能力得分和自我行为管理得分均升高。结论提高患者的自我效能有助于增强脑卒中患者自理能力和自我行为管理水平,促进患者的康复。

Objective To explore the impact of the self-efficacy in patients with stroke on their self-behavior management and self-care ability. Methods General questionnaires, chronic disease self-efficacy form, self-designed behavior management form and Barthel index were applied to investigate 120 cases of hospitalized stroke patients undergoing rehabilitation training from October 2012 to June 2013. Results The self-efficacy score was （8. 07 ± 1. 90） in the whole group, and different families average income influenced the score of self-efficacy level （F = 5. 16,P 〈0. 05）. The self-management ability score of patients was （48. 17 ± 26. 18）, and self-management of behavior （75. 50 ± 19. 67） score. Different level of self-efficacy in patients had different score of self-management ability and level, and different self-management of behavior and compliance （P〈0. 05）, but with the increasing of self-efficacy, the self-management score of ability and behavior increased as well. Conclusions To enhance the self-efficacy of the stroke patients can help improve the level of their self behavior management, so that it can increase the self-management ability and behavior, and promote the recovery.