本文選題：腦卒中　切入點(diǎn)：卒中結(jié)局　出處：《延邊大學(xué)》2014年碩士論文

【摘要】：研究目的描述腦卒中患者的卒中結(jié)局、健康信念與自我管理行為水平；明確腦卒中患者健康信念與自我管理行為在一般人口學(xué)特征上的差異；探討腦卒中患者卒中結(jié)局、健康信念與自我管理行為的關(guān)系。 研究方法采用描述性相關(guān)性研究設(shè)計(jì),方便抽樣的方法,調(diào)查吉林省三所三級甲等醫(yī)院的200名腦卒中患者。采用問卷調(diào)查法,用一般人口學(xué)特征調(diào)查表、卒中結(jié)局評價(jià)量表、健康信念模型量表(CHBMS)、腦卒中自我管理行為量表調(diào)查腦卒中患者的一般資料、卒中結(jié)局、健康信念與自我管理行為,并分析變量的影響因素及相關(guān)性。使用SPSS17.0軟件包進(jìn)行統(tǒng)計(jì)處理。 研究結(jié)果 1.腦卒中患者卒中結(jié)局、健康信念及自我管理行為的現(xiàn)狀 (1)研究對象神經(jīng)功能受損領(lǐng)域范圍水平在一個(gè)領(lǐng)域受損占54.7%,神經(jīng)功能殘損的嚴(yán)重程度水平在沒有或極輕微的神經(jīng)功能缺損49.5%,功能狀態(tài)水平在BADL部分受限(3項(xiàng)),IADL部分依賴占45.8%。 (2)健康信念總得分為(118.00±13.64),研究對象的健康信念六個(gè)維度得分條目均分由高到低依次為健康動(dòng)力(26.38±5.49)、自我效能(18.82±3.23)、感知到的益處(21.99±3.37)、感知到的嚴(yán)重性(22.33±4.63)、感知到的易感性(11.74±3.50)、感知到的障礙(16.93±3.27)。 (3)自我管理行為總得分為(147.7±22.66),各維度得分條目均分從高到低依次為情緒管理(16.94±4.80)、康復(fù)鍛煉管理(22.54±6.43)、安全用藥管理(16.02±4.32)、飲食管理(28.66±4.42)、生活起居管理(24.61±5.88)、社會(huì)功能及人際管理(14.97±4.29)、疾病管理(23.66±9.56)。 2.腦卒中患者健康信念、自我管理行為的單因素分析 (1)健康信念的One-Way ANOVA分析結(jié)果顯示,健康信念在社會(huì)人口學(xué)特征分布上的差異有統(tǒng)計(jì)學(xué)意義(P0.05),主要分布在生活自理程度、性格、工作狀況、家庭人均收入,伴隨疾病種數(shù)不同的患者中。 (2)腦卒中患者自我管理行為的One-Way ANOVA分析結(jié)果顯示,健康信念在社會(huì)人口學(xué)特征分布上的差異有統(tǒng)計(jì)學(xué)意義(P0.05),主要分布在文化程度、患病期間主要的照顧者、生活自理程度、性格、工作狀況、伴隨疾病種數(shù)不同的患者中。 3.腦卒中患者卒中結(jié)局、健康信念與自我管理行為的相關(guān)性 腦卒中患者健康信念總分與自我管理行為總分及其4個(gè)維度(疾病管理、情緒管理、社會(huì)功能和人際管理、康復(fù)鍛煉管理)呈正相關(guān)；腦卒中患者卒中結(jié)局總分與自我管理行為總分及其7個(gè)維度(疾病管理、用藥管理、飲食管理、日常生活起居管理、情緒管理、社會(huì)功能和人際管理、康復(fù)鍛煉管理)呈顯著負(fù)相關(guān)。 研究結(jié)論 1.腦卒中患者健康信念總體得分處于中等水平,其六個(gè)維度中,感知到的健康動(dòng)力、自我效能的水平較高,感知到的易感性和感知到的障礙水平較低。 2.腦卒中患者自我管理行為總體處于中等水平,頻率在“有時(shí)”與“經(jīng)�！敝g,7個(gè)維度中情緒管理、康復(fù)鍛煉管理、安全用藥管理、飲食管理、生活起居管理、維度水平較高,而社會(huì)功能及人際管理、疾病管理維度水平較低。 3.腦卒中患者健康信念的影響因素分析表明：生活自理程度、性格、工作狀況、家庭人均收入,伴隨疾病種數(shù)不同的腦卒中患者其健康信念有統(tǒng)計(jì)學(xué)差異。生活自理程度高、性格偏外向、在職的腦卒中患者,家庭人均收入高,伴隨疾病種數(shù)少的其健康信念越好。 4.腦卒中患者自我管理行為的影響因素分析表明：文化程度、患病期間主要的照顧者、生活自理程度、性格、工作狀況、伴隨疾病種數(shù)的腦卒中患者其健康行為有統(tǒng)計(jì)學(xué)差異。腦卒中患者健康信念越高,卒中結(jié)局狀態(tài)越好其自我管理行為越好。 5.卒中結(jié)局與自我管理行為得分呈顯著負(fù)相關(guān)：健康信念與自我管理行為得分呈正相關(guān)。
[Abstract]:The purpose of the study is to describe the outcome of stroke patients with stroke, the behavior level of health belief and self management; clear difference between stroke patients health belief and self management behavior in the general demographic characteristics; to investigate stroke outcome, relationship between health belief and self management behavior.
A descriptive correlational design was adopted, the convenient sampling method, 200 patients with stroke in Jilin Province three three hospitals. Using the method of questionnaire survey, with the general demographic characteristics questionnaire, stroke outcome scale, health belief model scale (CHBMS), stroke self management behavior of general information quantity table the investigation of patients with stroke on stroke outcome, health belief and self management behavior, and analyze the impact factors of variation and correlation. SPSS17.0 software package was used for statistical processing.
Research results
The status of stroke outcome, health belief and self management behavior in 1. stroke patients
(1) the range of neurological impairment in one field was 54.7%, the severity of neurological impairment was 49.5% in the field, and the functional status was partially restricted in BADL (3 items), while IADL was partially dependent on 45.8%..
(2) the total score of health belief (118 + 13.64), the object of study of health beliefs of six dimensions scores were ranked from high to low as healthy power (26.38 + 5.49), self-efficacy (18.82 + 3.23), perceived benefits (21.99 + 3.37), perceived severity (22.33 + 4.63), perceived susceptibility (11.74 + 3.50), perceived barriers (16.93 + 3.27).
(3) the total score of self-management behavior (147.7 + 22.66), the score of item score from high to low is emotional management (16.94 + 4.80), management of rehabilitation exercise (22.54 + 6.43), management of drug safety (16.02 + 4.32), diet management (28.66 + 4.42), living in management (24.61 + 5.88), social function and interpersonal relationship management (14.97 + 4.29), disease management (23.66 + 9.56).
A single factor analysis of health belief and self management behavior in 2. stroke patients
(1) the One-Way ANOVA analysis of health belief showed that the difference of health belief in the distribution of social demographic characteristics was statistically significant (P0.05), mainly in the degree of self-care, personality, work status, family income per capita, and the number of patients with different diseases.
(2) One-Way ANOVA analysis results of cerebral stroke patients self management behavior showed that there were statistically significant differences in the health belief in social demographic characteristics of the distribution (P0.05), mainly in the cultural level, during the prevalence of primary caregivers, working condition of self-care, personality, and concomitant disease in patients with different species.
Relationship between health belief and self management behavior in stroke patients with 3. stroke
Self management behavior and health belief of cerebral stroke patients total score and 4 dimensions (disease management, emotional management, interpersonal function and social management, rehabilitation management) are positively correlated; and 7 dimensions and self management behavior and the outcome of stroke patients with stroke score (total score of disease management, medication management, catering management, daily life management, emotional management, social function and interpersonal management, exercise management) is a significant negative correlation.
research conclusion
1., the overall score of health belief in stroke patients is at a moderate level. In six dimensions, perceived health motivation and self-efficacy level are high, and perceived susceptibility and perceived barriers are relatively low.
2. stroke patients self management behavior overall in the middle level, the frequency in the "sometimes" and "often" between the 7 dimensions of emotional management, management of rehabilitation exercise, medication safety management, catering management, life management, dimension level is higher, and the social function and interpersonal dimension level management, disease management is low.
The influence factors of the 3. stroke patients health belief analysis shows that the working condition of self-care, personality, family income per capita, with statistical difference between different species of disease of patients with stroke health beliefs. Self-care level is high, extrovert, stroke patients in the family per capita income high, with few kinds of diseases the health belief is better.
Influence factors of self management behavior of 4. stroke patients shows that the culture degree, during the prevalence of primary caregivers, working condition of self-care, personality, with the disease of patients with stroke in health behaviors have significant difference. The health belief of stroke patients is higher, the better the outcome of stroke state self management behavior better.
5. the outcome of stroke was negatively correlated with the score of self management behavior: health belief was positively correlated with self management behavior score.

【學(xué)位授予單位】：延邊大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R473.74

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