脑卒中病人健康素养与功能锻炼依从性的关系

ASSOCIATION BETWEEN HEALTH LITERACY AND COMPLIANCE WITH FUNCTIONAL EXERCISE IN PATIENTS WITH STROKE

目的分析脑卒中病人健康素养与功能锻炼依从性的关系。方法选取脑卒中病人230例为研究对象,问卷调查其健康素养信息,并追踪其3次住院期间功能锻炼的依从性。以功能锻炼依从性为因变量,健康素养为自变量,拟合广义估计方程(GEE)。结果 脑卒中病人的健康素养总得分为(89.73±12.35)分,健康素养不充足者占73.5%。GEE分析显示,控制有关混杂因素后,除身体参与锻炼依从性评分外,其余3个维度在各时间点的评分健康素养充足组皆大于健康素养不足组,差异有统计学意义。但总的来讲,随着时间的推移,两组各维度评分差异逐渐减小。结论 健康素养影响脑卒中病人功能锻炼依从性。

ObjectiveTo investigate the association between health literacy and compliance with functional exercise in patients with stroke.MethodsA total of 230 patients with stroke were selected as subjects.A questionnaire was used to investigate their health literacy,and compliance with functional exercise was tracked during the three times of hospitalization.A genera-lized estimating equation(GEE)was fitted with compliance with functional exercise as the dependent variable and health literacy as the independent variable.ResultsThe total score of health literacy was 89.73±12.35 for the patients with stroke,among whom 73.5%had inadequate health literacy.The GEE analysis showed that after adjustment for all confounding factors,the adequate health literacy group had significantly higher scores on all dimensions except compliance with physical exercise compared with the inadequate health literacy group;however,such differences gradually decreased over time.ConclusionHealth literacy may affect the compliance with functional exercise in patients with stroke.