脑卒中病人康复治疗依从性与健康素养及自我管理行为的相关性

Correlation between compliance of rehabilitation treatmentand health literacy and self-management behavior in stroke patients

目的:探讨脑卒中病人康复治疗依从性与健康素养及自我管理行为的相关性。方法:选取进行康复治疗的脑卒中病人241例为研究对象,根据病人康复治疗依从性分为高依从组(依从性评分≥6分)115例和低依从组(依从性评分<6分)126例,采用Pearson相关分析和多因素logistic回归模型对脑卒中康复治疗病人依从性的影响因素进行分析。结果:高依从组病人健康素养、社会支持、身体机能、自我管理行为评分均明显高于低依从组(P<0.01),焦虑状态评分明显低于低依从组(P<0.01)。Pearson相关分析显示,脑卒中康复病人的健康素养和自我管理行为与治疗依从性均呈明显正相关关系(r=0.434、0.415,P<0.01)。logistic回归分析显示,健康素养、社会支持、身体机能、自我管理行为均为脑卒中病人康复治疗依从性的独立保护因素(P<0.01),而焦虑状态则为脑卒中病人康复治疗依从性的独立危险因素(P<0.01)。结论:健康素养、社会支持、身体机能、自我管理行为和焦虑状态均为脑卒中病人康复治疗依从性的重要影响因素。

Objective:To explore the correlation between compliance of rehabilitation treatment and health literacy and self-management behavior in stroke patients.Methods:A total of 241 stroke patients who underwent rehabilitation were included as the research object.According to the patients′compliance of rehabilitation treatment,patients with compliance score≥6 were regarded as high compliance group(115 cases),patients with a score of less than 6 were regarded as the low compliance group(126 cases).The Pearson correlation analysis and multivariate logistic regression model were used to analyze the factors affecting the compliance of stroke patients with rehabilitation treatment.Results:The health literacy,social support,physical function,and self-management behavior scores of patients in the high compliance group were significantly higher than those in the low compliance group(P<0.01),and the anxiety state scores were significantly lower than those in the low compliance group(P<0.01).Pearson correlation analysis showed that health literacy and self-management behavior were positively correlated with the treatment compliance of stroke rehabilitation patients(r=0.434,r=0.415,P<0.01).Logistic regression analysis showed that health literacy,social support,physical function,and self-management behavior were the independent protective factor for the compliance of rehabilitation treatment in stroke patients,while anxiety state was a risk factor for the compliance of rehabilitation treatment(P<0.01).Conclusions:Health literacy,social support,physical function,self-management behavior,and anxiety state are all important influencing factors for the compliance of rehabilitation treatment in stroke patients.