缺血性脑卒中患者慢性病资源利用潜在类别分析

Class Analysis of Chronic Disease Resource Utilization in Ischemic Stroke Patients

目的探讨缺血性脑卒中患者慢性病资源利用的潜在类别,并分析不同类别的影响因素。方法采用便利抽样法,于2022年11月至2023年4月选取乌鲁木齐市2所三级甲等医院符合纳入标准的285名缺血性脑卒中患者作为研究对象。采用一般资料调查表、慢性病资源问卷和Barthel指数量表进行调查。结果缺血性脑卒中患者慢性病资源利用可分为低个体应对组(30.88%)、高水平资源利用组(50.18%)和高医疗资源-低邻里社区组(18.95%)3个潜在类别。Logistic回归分析显示,文化程度、发病情况、患病年限、脑卒中家族史、并存疾病数量、自理程度是资源利用潜在类别的影响因素(P<0.05)。结论缺血性脑卒中患者慢性病资源利用存在异质性,分为3个潜在类别,卒中教育需根据不同类别患者采取针对性教育,以提高缺血性脑卒中患者资源利用水平。

Objective To explore the potential class and influencing factors of chronic disease resource utilization in ischemic stroke patients.Methods With convenience sampling method,285 ischemic stroke patients were selected from 2 tertiary grade-A hospitals in Urumqi from November 2022 to April 2023.They were investigated by general information questionnaire,Chronic IllnessResource Survey(CIRS)and Barthel Index Scale.Results The chronic disease resource utilization of patients with ischemic stroke was divided into 3 potential classes,namely low individual response group(30.88%),high level group(50.18%)and high medical resources-low neighborhood community group(18.95%).Logistic regression analysis showed that education level,incidence status,years of disease,family history of stroke,number of coexisting diseases,and degree of self-care are the influencing factors of the potential categories of resource utilization(P<0.05).Conclusion The chronic disease resource utilization in ischemic stroke patients is heterogeneous,which is divided into three potential classes.Stroke education should be targeted according to different classes of patients to improve the resource utilization level of ischemic stroke patients.