摘要
目的:调查老年脑卒中患者运动恐惧现状,并分析其影响因素.方法:采用便利抽样法,于2023年5月—8月选取河南省商丘市某三级甲等医院的老年脑卒中患者为调查对象,采用一般资料调查量表、改良版Rankin量表、修订版面部表情疼痛量表、运动自我效能量表、恐动症评估简表中文版、广泛焦虑障碍量表、健康问卷抑郁量表对患者进行问卷调查,采用二元Logistics回归分析其运动恐惧影响因素.结果:患者运动恐惧总分(39.89±10.76)分,运动恐惧发生率68.9%.二元Logistics回归分析结果显示,运动自我效能、家庭人均月收入是患者运动恐惧的保护性因素(OR=0.940、0.482,均P<0.05);残疾程度、疼痛、女性是患者运动恐惧的危险因素(OR=4.258、2.091、2.458,均P<0.05).结论:老年脑卒中患者运动恐惧发生率较高,临床医护人员要高度关注残疾程度高、家庭人均月收入低、运动自我效能低、疼痛评分较高的老年脑卒中患者.
Abstract
Objective:To investigate the current situation of exercise fear in elderly stroke patients and analyze its influencing factors.Methods:From May 2023 to August 2023,the convenience sampling method was used to select the elderly stroke patients in a tertiary hospital in Shangqiu City,Henan Province as the survey subjects.The general data survey scale,the modified Rankin scale,the revised facial expression pain scale,the motor self-efficacy scale,the Chinese version of the kinesiophobia assessment scale,the extensive anxiety disorder scale,and the health questionnaire depression scale were used to conduct a questionnaire survey on the patients.Binary logistics regression analysis was used to analyze the influencing factors of exercise fear.Results:Total score of kinophobia(39.89±10.76),the incidence of 68.9%.The results of binary logistic regression analysis showed that exercise self-efficacy and per capita monthly income were protective factors(OR=0.940,0.482,all P<0.05);disability,pain,and female were risk factors for exercise fear(OR=4.258,2.091,2.458,all P<0.05).Conclusion:The incidence of exercise fear in elderly stroke patients is high.Clinical medical staff should pay close attention to elderly stroke patients with high degree of disability,low family per capita monthly income,low exercise self-efficacy and high pain score.
NETL
NSTL
万方数据