缺血性脑卒中患者复发风险感知与健康行为的相关性研究

Relationship between recurrence risk perception and health behaviors in patients with ischemic stroke

目的了解缺血性脑卒中患者复发风险感知、健康行为现状并分析两者之间关系。方法采用一般资料调查表、缺血性脑卒中复发风险感知量表及脑卒中患者健康行为量表对乌鲁木齐市某三甲医院的214名缺血性脑卒中患者进行调查。结果缺血性脑卒中患者复发风险感知总分(86.67±9.27)分,健康行为总分(68.78±6.53)分,两者呈正相关(r=0.389,P<0.05);控制一般资料后,复发风险感知可独立解释缺血性脑卒中患者健康行为14.5%的变异(P<0.05)。结论缺血性脑卒中患者复发风险感知及健康行为水平均处于中等水平,复发风险感知正向预测健康行为。临床医护人员可以从风险感知角度对缺血性脑卒中患者进行健康教育,促进患者健康行为,减少卒中复发。

Objective To explore the status and relationship of recurrence risk perception and health behaviors in ischemic stroke patients.Methods A survey was conducted on two hundred and fourteen ischemic stroke patients from grade-A tertiary general hospitals of Urumqi by using a general data questionnaire,Recurrence Risk Perception Scale for Patients with Ischemic Stroke,and Health Behavior Scale for Stroke Patients(HBS-SP).Results The total score of recurrence risk perception of ischemic stroke patients was(86.67±9.27)points and the total HBS-SP score was(68.78±6.53).Correlation analysis showed positive correlation between recurrence risk perception and health behavior(r=0.389,P<0.05).After controlling for demographic data,recurrence risk perception explained 14.5%of the variance in health behaviors of ischemic stroke patients(P<0.05).Conclusion Recurrence risk perception and health behaviors are at medium levels in ischemic stroke patients.Recurrence risk perception predicts positive health behaviors.Clinical staff can provide health education for ischemic stroke patients from the perspective of risk perception to promote patients’health behaviors and reduce recurrence.