251例缺血性脑卒中患者复发风险感知现状及影响因素分析

doi:10.16460/j.issn1008-9969.2023.15.069

摘要/Abstract

摘要： 目的调查缺血性脑卒中患者复发风险感知现状,并分析其影响因素。方法采用便利抽样法,于2022年10月—2023年3月选取乌鲁木齐市2所三级甲等医院符合纳入标准的251例缺血性脑卒中患者作为研究对象。采用一般资料调查表、慢性病资源问卷和缺血性脑卒中复发风险感知量表进行调查。采用多重线性回归分析缺血性脑卒中患者复发风险感知的影响因素。结果本组中缺血性脑卒中患者复发风险感知总分为（88.97±10.47）分;多重线性回归结果显示,文化程度、合并其他疾病数量、脑卒中患病时间、慢性病资源利用进入回归方程（P<0.05）,共解释总变异的28.0%。结论缺血性脑卒中患者复发风险感知水平处于中等偏高水平,文化程度、合并其他疾病数量、脑卒中患病时间及慢性病资源利用是其复发风险感知的主要影响因素。建议除医护人员为患者提供技术和情感支持之外,还可以拓宽媒体政策、组织机构等方面社会资源,提高患者复发风险感知准确性。

关键词: 脑卒中, 缺血性脑卒中, 复发风险感知, 慢性病资源利用

Abstract: Objective To investigate the current status of recurrence risk perception of patients with ischemic stroke and analyze its influencing factors. Methods With convenience sampling, 251 ischemic stroke patients were selected from 2 tertiary grade-A hospitals in Urumqi from October 2022 to March 2023. They were investigated by general information questionnaire, Recurrence Risk Perception Scale for Patients with Ischemic Stroke and Chronic Illness Resource Survey(CIRS). Multiple linear regression analysis was used to explore the influencing factors of recurrence risk perception of patients with ischemic stroke. Results The total score of recurrence risk perception of ischemic stroke patients was 88.97±10.47.Multiple linear regression analysis showed that education background, the number of other diseases, the duration of stroke disease, the chronic disease resource utilization entered the regression equation(P<0.05), which explained 28.0% of the total variation. Conclusion The recurrence risk perception of ischemic stroke patients is at a moderate or above level. Education background, the number of other diseases, the duration of stroke disease, the chronic disease resource utilization are the main influencing factors of recurrence risk perception. It is suggested that in addition to providing technical and emotional support to patients, social resources including media, policies, and organizations should be considered to improve the accuracy of patients’ recurrence risk perception.

Key words: stroke, ischemic stroke, recurrence risk perception, utilization of chronic illness resources

中图分类号:

R473.5

王贝贝, 段思雨, 冉明, 孙瑶, 李萍. 251例缺血性脑卒中患者复发风险感知现状及影响因素分析[J]. 护理学报, 2023, 30(15): 69-73.

WANG Bei-bei, DUAN Si-yu, RAN Ming, SUN Yao, LI Ping. Current status of recurrence risk perception of patients with ischemic stroke and its influencing factors: a 251-case study[J]. Journal of Nursing, 2023, 30(15): 69-73.

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