摘要
目的:探讨轻型卒中患者自我效能感与其虚弱状态的关系.方法:选择 2022 年 8 月至 2022 年 12 月在山西盈康一生总医院就诊的298例轻型卒中患者作为研究对象,记录患者年龄、性别、体质量指数(BMI)、文化程度、个人史、伴随疾病、婚姻状态、家庭收入、居住方式、费用支付方式、自我效能感、虚弱状态、入院美国国立卫生研究院脑卒中量表(NIHSS)评分、卒中分型等资料数据.观察不同自我效能患者虚弱分级和虚弱状态发生率,采用多因素logistic回归分析剔除协变量影响后自我效能与虚弱状态的关系.结果:随着自我效能感增加,患者虚弱状态分级逐渐降低(F=35.032,P＜0.001).自我效能感高的患者虚弱状态发生率低于自我效能感中等和自我效能感低的患者,自我效能感中等患者虚弱状态发生率低于自我效能感低的患者,差异均具有统计学意义(P＜0.05).多因素logistic回归分析结果显示:剔除协变量影响后,自我效能中等和自我效能高均是虚弱状态的保护因素(P＜0.05),协变量分析结果显示,年龄≥60 岁、非独居是影响患者虚弱状态的危险因素(P＜0.05),文化程度≥大专是患者虚弱状态的保护因素(P＜0.05).结论:自我效能感是轻型卒中患者虚弱状态的保护因素,采用积极干预措施,改善患者自我效能感是减轻轻型卒中患者虚弱状态和改善预后的有效手段.
Abstract
Objective To explore the relationship between self-efficacy and frailty in patients with mild stroke.Methods A total of 298 patients with mild stroke who were treated in Shanxi lncaier General Hospital from August 2022 to December 2022 were selected as the study objects.Patients'age,sex,body mass index(BMI),educational level,personal history,concomitant diseases,marital status,family income,living style,expense payment method,self-efficacy,fallow state,National Institutes of Health stroke scale(NIHSS)score on admission,stroke classification and other data were recorded.The frailty grade and incidence of frailty state in patients with different self-efficacy were observed.Multivariate logistic regression was used to analyze the relationship between self-efficacy and frailty state after removing the influence of covariables.Results With the increase of self-efficacy,patients'faltering status grade decreased gradually(F=35.032,P＜0.001).The incidence of frailty in patients with high self-efficacy was lower than that in patients with moderate self-efficacy and low self-efficacy,and the incidence of frailty in patients with moderate self-efficacy was lower than that in patients with low self-efficacy,with statistical significance(P＜0.05).Multiariable logistic regression analysis showed that after removing the influence of covariates,moderate self-efficacy and high self-efficacy were both protective factors for frailty(P＜0.05).The covariate analysis showed that age≥60 years old and non-living alone were risk factors for frailty(P＜0.05),and education≥college degree was a protective factor for frailty(P＜0.05).Conclusion Self-efficacy is a protective factor for the frailty of patients with mild stroke.Adopting active intervention measures to improve self-efficacy is an effective means to reduce frailty and improve prognosis of patients with mild stroke.
基金项目
全国职业教育科学研究规划课题项目(2020QZJ219)
河南省高等学校重点科研项目(23B320002)
河南省哲学社会科学规划年度项目(2020BSH013)
NETL
NSTL
万方数据