青年脑卒中患者心理一致感与自我管理行为的相关性研究

Study on Correlation between Sense of Coherence and Self-management Behaviors in Young Stroke Patients

目的了解青年脑卒中患者心理一致感与自我管理行为现状,并分析二者的相关性。方法采用方便抽样法,选取2019年9月至2020年1月在中南大学湘雅医院神经内科住院的青年脑卒中患者301例为研究对象,采用一般人口学资料调查表、心理一致感量表和青年脑卒中患者自我管理行为量表对其进行调查。结果被调查的301例青年脑卒中患者心理一致感量表总得分为(62.37±9.49)分、自我管理行为量表总得分为(66.82±9.30)分,均处于中等偏低水平;心理一致感量表总得分及各维度得分与自我管理行为量表总得分及各维度得分均呈正相关(P<0.05)。结论青年脑卒中患者心理一致感与自我管理行为水平有待进一步提高,心理一致感是自我管理行为的预测因素。临床医护人员可采取相应的干预措施来提高青年脑卒中患者的心理一致感水平,进而提升其自我管理行为水平。

Objective To understand the status quo of sense of coherence and self-management behaviors in young stroke patients,and to analyze their correlation.Methods A total of 301 young stroke patients hospitalized in the Department of Neurology,Xiangya Hospital of Central South University from September 2019 to January 2020 were selected by convenience sampling.They were investigated by a general demographic data questionnaire,a sense of coherence scale and a self-management behavior scale.Results For the 301 patients,the total score of the sense of coherence scale was(62.37±9.49)points and that of the self-management behavior scale was(66.82±9.30)points,both at a moderately low level.The total score of the sense of coherence scale and the score of each dimension were positively correlated with the total score of the self-management behavior scale and the score of each dimension(P<0.05).Conclusion The sense of coherence and self-management behaviors of young stroke patients need to be further improved.The sense of coherence can be used to predict self-management behaviors.Clinical medical staff can take corresponding intervention measures to enhance the sense of coherence of young stroke patients,and thus improve their selfmanagement behaviors.