脑卒中高危人群院前延迟行为意向的潜在剖面分析

Potential profile analysis of pre-hospital delayed behavioral intention in high-risk population of stroke

目的 探索脑卒中高危人群院前延迟行为意向的潜在剖面分型,并分析其影响因素,为制定针对性干预措施提供参考。方法 采用一般资料调查表、脑卒中院前延迟行为意向量表、慢性病病人健康素养量表对213例脑卒中高危人群进行调查。对脑卒中高危人群院前延迟行为意向进行潜在剖面分析,并通过单因素分析和logistic回归分析识别其潜在剖面的影响因素。结果 脑卒中高危人群院前延迟行为意向分为3个类别:高延迟-高合理化组(12.7%)、中等延迟组(66.7%)和低延迟-低警觉组(20.6%)。logistic回归分析结果显示,常居地、吸烟情况、性格分型、健康素养是脑卒中高危人群院前延迟行为意向潜在剖面的影响因素(均P<0.05)。结论 脑卒中高危人群院前延迟行为意向存在异质性,医护人员可依据院前延迟行为意向特征及影响因素开展针对性干预,改善其院前延迟现状。

Objective To explore the potential profile classification of pre-hospital delayed behavioral intention in stroke high-risk population,and to analyze its influencing factors,so as to provide a reference for developing tailored intervention.Methods A total of 213 high-risk stroke patients were investigated by using a general information questionnaire,the Stroke Pre-hospital Delay Behavior Intention(SPDBI) and the health literacy scale for patients with chronic diseases.Then the potential profile analysis of the participants′ pre-hospital delay behavior intention was conducted,and the influencing factors of potential profile were identified via single factor analysis and logistic regression analysis.Results The pre-hospital delay behavior intention of stroke high-risk stroke population was divided into three categories:high delay-high rationalization group(12.7%),medium delay group(66.7%) and low delay-low alertness group(20.6%).Logistic regression analysis showed that,place of residence,smoking status,personality type and health literacy were the influencing factors of potential profile classification of the participants′ pre-hospital delay behavior intention(all P<0.05).Conclusions There is heterogeneity in pre-hospital delay behavior intention among high-risk population of stroke,thus medical staff can implement targeted interventions according to the traits and influencing factors of pre-hospital delay behavior intention,so as to improve their pre-hospital delay.