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复发风险感知在缺血性脑卒中患者社会资本与康复运动依从性中的中介效应

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目的 了解缺血性脑卒中患者社会资本、复发风险感知和康复运动依从性现状,并探讨复发风险感知在社会资本与康复运动依从性中的中介作用。方法 采用便利抽样法,选取2023年1-8月在新疆维吾尔自治区人民医院神经内科及康复科住院的334例缺血性脑卒中患者,采用一般资料调查表、缺血性脑卒中复发风险感知量表、社会资本量表和脑卒中功能锻炼依从性量表进行问卷调查。结果 缺血性脑卒中患者缺血性脑卒中复发风险感知量表总分为(88。38±10。42)分,处于中等偏上水平;社会资本量表总分为(76。42±6。23)分,处于相对较高水平;脑卒中功能锻炼依从性量表总分为(43。37±3。89)分,处于相对较高水平。Pearson相关分析显示:缺血性脑卒中患者社会资本、复发风险感知、功能锻炼依从性间呈两两正相关(均P<0。05)。中介分析结果显示:复发风险感知在缺血性脑卒中患者社会资本与功能锻炼依从性间发挥部分中介作用,中介效应占总效应的39。47%。结论 复发风险感知是缺血性脑卒中患者社会资本与康复运动依从性间的中介变量,医护人员在提高缺血性脑卒中患者社会资本的同时,应加强与患者的风险沟通,提高患者复发风险感知水平,进而促进其功能锻炼依从性。
Mediating effect of recurrence risk perception on the relationship between social capital and rehabilitation exercise compliance in patients with ischemic stroke
Objective To understand the current status of the social capital,recurrence risk perception,and reha-bilitation exercise compliance in patients with ischemic stroke,and to analyze the mediating effect of recurrence risk perception on the relationship between social capital and rehabilitation exercise compliance.Methods A total of 334 ischemic stroke patients who were hospitalized in the department of neurology and rehabilitation of the Peoples Hos-pital of Xinjiang Uygur Autonomous Region from January to August 2023 were selected using the convenience sam-pling method,and were conducted a questionnaire survey by the general information questionnaire,recurrence risk perception scale for patients with ischemic stroke,the social capital scale,and stroke functional exercise adherence questionnaire.Results The total score of recurrence risk perception scale for patients with ischemic stroke in patients with ischemic stroke was(88.38±10.42)points,which was at an upper-middle level;The total score of the social capital scale was(76.42±6.23)points,which was at a relatively high level;And the total score of stroke functional exercise adherence questionnaire was(43.37±3.89)points,which was at a relatively high level.Pearson correlation analysis showed that there was a pairwise positive correlation among social capital,recurrence risk perception,and functional exercise compliance in patients with ischemic stroke(P<0.05).The results of mediation analysis showed that recurrence risk perception played a partial mediation role between social capital and functional exercise adher-ence,and the mediation effect accounted for 39.47%of the total effect.Conclusion Recurrence risk perception is the intermediary variable between social capital and rehabilitation exercise adherence in ischemic stroke patients.While improving the social capital of ischemic stroke patients,medical staff should strengthen risk communication with pa-tients,improve the level of recurrence risk perception,and then promote compliance with functional exercise.

ischemic strokesocial capitalrecurrence risk perceptionfunctional exercise adherencemediation effect

王贝贝、侯铭、段思雨、王玲玲、李萍

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新疆维吾尔自治区人民医院护理部,新疆乌鲁木齐 830000

新疆维吾尔自治区人民医院神经内科,新疆乌鲁木齐 830000

缺血性脑卒中 社会资本 复发风险感知 康复运动依从性 中介效应

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(24)