摘要
目的了解中青年脑卒中患者功能锻炼依从性,并分析其影响因素,为中青年脑卒中患者康复管理提供参考。方法选择2021年1月—2022年6月在浙江中医药大学附属同德医院康复治疗的18~59岁脑卒中患者为研究对象。通过调查问卷收集人口学和疾病资料;采用脑卒中功能锻炼依从性量表评估功能锻炼依从性;采用社会支持评定量表、运动自我效能量表、抑郁自评量表分别评估患者社会支持、运动自我效能和抑郁情况。采用多重线性回归模型分析中青年脑卒中患者功能锻炼依从性的影响因素。结果发放问卷230份,回收有效问卷213份,回收有效率为92.61%。男性129例,占60.56%,女性84例,占39.44%;年龄为(53.49±7.95)岁。功能锻炼依从性总分为(41.37±9.11)分。多重线性回归分析结果显示,文化程度(β’=0.376)、家庭人均月收入(β’=0.309)、脑卒中发病史(β’=-0.238)、接受康复指导(β’=0.284)、抑郁(β’=-0.261)、运动自我效能(β’=0.152)和社会支持水平(β’=0.277~0.415)是中青年脑卒中患者功能锻炼依从性的影响因素。结论文化程度、收入、脑卒中发病史、抑郁、运动自我效能和社会支持水平可能影响中青年脑卒中患者的功能锻炼依从性。
Objective To investigate the compliance of functional exercises and identify its influencing factors among young and middle-aged stroke patients,so as to provide insights into rehabilitation management among young and middle-aged stroke patients.Methods Stroke patients at ages of 18 to 59 years were recruited from those receiving rehabilitation treatment in Tongde Hospital Affiliated to Zhejiang Chinese Medical University from January 2021 to June2022.Participants’demographics and clinical data were collected through questionnaire surveys.The compliance of functional exercises was assessed using Stroke Functional Exercise Adherence Questionnaire,and patients’social support,exercise self-efficacy and depression were assessed using the Social Support Rating Scale,Exercise Self-efficacy Scale and Self-rating Depression Scale.The factors affecting functional exercise compliance were identified among young and middle-aged stroke patients with a multivariable linear regression model.Results A total of 230 questionnaires were allocated and 213 valid questionnaires were recovered,with an effective recovery rate of 92.61%.The respondents included 129 men(60.56%)and 84 women(39.44%)and had a mean age of(53.49±7.95)years.The total score of functional exercise compliance was(41.37±9.11)points among the participants.Multivariable linear regression analysis identified education level(β’=0.376),monthly household income per capita(β’=0.309),history of stroke onset(β’=-0.238),rehabilitation instruction(β’=0.284),depression(β’=-0.261),exercise self-efficacy(β’=0.152),and social support level(β’:0.277 to 0.415)as factors affecting the functional exercise compliance among young and middle-aged stroke patients.Conclusion Education level,income,history of stroke onset,depression,exercise self-efficacy and social support may affect the compliance of exercise compliance among young and middle-aged stroke patients.
作者
徐云辉
应丹丹
杨静
XU Yunhui;YING Dandan;YANG Jing(Department of Rehabilitation,Tongde Hospital Affiliated to Zhejiang University of Traditional Chinese Medicine,Hangzhou,Zhejiang 310012,China)
出处
《预防医学》
2023年第2期171-175,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
关键词
脑卒中
功能锻炼
依从性
中青年人群
社会支持
运动自我效能
stroke
functional exercise
compliance
young and middle-aged population
social support
exercise self-efficacy
