首页|脑卒中患者锻炼行为感知潜在剖面分析及与自我效能的关系

脑卒中患者锻炼行为感知潜在剖面分析及与自我效能的关系

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目的 探索脑卒中患者锻炼行为感知的潜在类别及其与自我效能的关系。方法,选取2022年2-7月安阳市3所三级医院的463例住院脑卒中患者作为调查对象。使用一般资料调查表、锻炼益处及障碍量表、脑卒中康复自我效能量表进行调查,并对锻炼行为感知进行潜在剖面分析。结果 脑卒中患者锻炼行为感知可分为3个类别:低益处—高障碍型(17。3%)、中等—感知均衡型(70。8%)、高益处—家庭型(11。9%)。锻炼行为感知潜在类别是康复自我效能的影响因素,中等感知—均衡型和高益处—家庭型康复自我效能总分及维度得分均高于低益处—高障碍型(P均<0。001)。结论 脑卒中患者锻炼行为感知存在异质性和潜在类别特征。临床医护人员应重视患者锻炼行为感知水平,根据不同感知类别制定个性化运动处方或锻炼计划,增强脑卒中患者自我效能,从而建立和巩固健康行为。
Latent profile analysis of exercise behavior perception in stroke patients and its relationship with self-efficacy
Objective To explore the potential categories of exercise behavior perception in stroke patients and its relationship with self-efficacy.Method A total of 463 hospitalized stroke patients from 3 Class Ⅲ Grade A hospitals in Anyang city from February to July 2022 were selected as the survey subjects,and were surveyed by the General Information Questionnaire,Exercise Benefits and Obstacles Scale,and Stroke Rehabilitation Self-Efficacy Scale.A potential profile analysis of exercise behavior perception was conducted.Results The perceived exercise behavior of stroke patients could be divided into 3 categories:low-benefit-high-obstacle type(17.3%),moderate-perceived-bal-ance type(70.8%),and high-benefit-family type(11.9%).The potential categories of perceived exercise behavior were the influencing factors of rehabilitation self-efficacy.The total scores and dimension scores of moderate-per-ceived-balanced and high benefit-family-rehabilitation self-efficacy were higher than those of low-benefit-high-obsta-cle type(P<0.001).Conclusion There are heterogeneity and potential category characteristics in the perception of exercise behavior among stroke patients.Clinical medical staff should pay attention to the perceived level of exercise behavior among patients,develop personalized exercise prescriptions or plans based on different perception catego-ries,enhance the self-efficacy of stroke patients,and thus establish and consolidate healthy behaviors.

strokeexerciseperceptionself-efficacylatent profile analysis

任娟娟、安保霞、刘晓、张振香

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郑州工业应用技术学院,河南郑州 451100

滑县人民医院,河南安阳 456400

郑州大学护理与健康学院,河南郑州 450001

脑卒中 锻炼 感知 自我效能 潜在剖面分析

中华护理学会项目河南省医学科技攻关计划项目

ZHKY202024SBGJ202002014

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(2)
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