中青年脑卒中患者康复自我效能与日常生活活动能力及创伤后成长的相关性研究

Correlation between rehabilitation self-efficacy and activities of daily living,post-traumatic growth in middle and young-age patients with stroke

目的探讨中青年脑卒中患者康复自我效能与自理能力及创伤后成长(PTG)的相关性及影响程度。方法采用巴氏指数(BI),脑卒中康复自我效能量表(SSEQ)和简体中文版创伤后成长评定问卷(C-PTGI)对172例中青年脑卒中患者进行调查分析。采用Pearson相关分析SSEQ得分与BI及C-PTGI得分的相关性,同时以脑卒中SSEQ两个维度为因变量,以BI及C-PTGI各维度为自变量进行多元逐步回归分析。结果中青年脑卒中患者年龄(50.73±10.27)岁,BI得分为(62.47±27.66),SSEQ得分为(78.59±27.71)分,其中活动功能维度得分(46.94±21.22)分、自我管理维度总得分(31.25±10.28)分;中青年脑卒中患者CPTGI总得分为(50.55±20.57)分,中青年脑卒中患者SSEQ得分与BI得分及C-PTGI得分呈正相关(r=0.611、0.282,P<0.01)。回归分析显示BI及C-PTGI各维度共解释SSEQ活动功能维度53.7%(△R2=0.537,F=33.997),自我管理维度16.5%(△R2=0.165,F=6.651)。结论中青年脑卒中患者康复自我效能与SSEQ及PTG呈正相关,医护工作者可以提高患者康复自我效能水平,以促进患者采取积极康复行为。

Objective To investigate the correlation and influence degree of rehabilitation self-efficacy and activities of daily living and post-traumatic growth of stroke patients in middle and young-aged people.Methods A total of 172 stroke patients were investigated using Barthel Index Scale(BI),stroke self-efficacy questionnaire(SSEQ)and Chinese posttraumatic growth inventory(C-PTGI),Pearson correlation analysis was used to analyze the correlation between SSEQ score and the other two variables.At the same time,two dimensions of SSEQ were used as dependent variables,and BI and dimensions of C-PTGI as independent variables,multiple stepwise regression analysis was performed on them.Results The average age of patients was(50.73±10.27)years old.The mean score of ADL was(62.47±27.66)scores,SSEQ was(78.59±27.71)scores,among which the activity function dimension score was(46.94±21.22)scores,self-management dimension was(31.25±10.28)scores.The average age of C-PTG was(50.55±20.57)scores.Correlation analysis revealed a positive correlation between SSEQ and BI(r=0.611,P<0.01)as well as C-PTG(r=0.282,P<0.01).Regression analysis showed that BI and C-PTG were independent risk factors of SSEQ scores(activities function dimension△R^2=0.537,F=33.997,self-management dimension△R^2=0.165,F=6.651).Conclusion Rehabilitation self-efficacy is positively related to activities of daily living and posttraumatic growth in middle and young-age patients with stroke.Health care workers should improve the self-efficacy level of patients′rehabilitation and promote positive rehabilitation behaviors.