本文選題：腦血管意外 + 自我效能��； 參考：《南昌大學(xué)》2015年碩士論文

【摘要】：目的:描述中青年腦卒中患者的自我效能、家庭功能及健康行為現(xiàn)狀,分析其影響因素,并進(jìn)一步探討中青年腦卒中患者的自我效能、家庭功能與健康行為之間的相關(guān)性。方法:采用橫斷面調(diào)查研究設(shè)計(jì),于2014年6月至12月對(duì)南昌市兩所三級(jí)甲等醫(yī)院(江西省人民醫(yī)院、南昌大學(xué)第一附屬醫(yī)院)住院符合納入標(biāo)準(zhǔn)的105例中青年腦卒中患者進(jìn)行面對(duì)面調(diào)查,利用健康促進(jìn)生活方式量表Ⅱ(HPLPII)、一般自我效能量表(GSES)、家庭親密度和適應(yīng)性量表中文版(FACES II-CV)分別測(cè)定患者自我效能、家庭功能及健康行為水平情況,將收集的資料利用SPSS19.0統(tǒng)計(jì)軟件包進(jìn)行統(tǒng)計(jì)處理。結(jié)果:(1)女性中青年腦卒中患者健康行為得分高于男性(p0.05);中年腦卒中患者的健康行為高于青年腦卒中患者(p0.05);已婚患者健康行為得分高于離異或喪偶患者(p0.05);大學(xué)及以上文化程度患者健康行為得分高于小學(xué)及以下患者(p0.05);人均收入高和醫(yī)保力度大的中青年腦卒中患者健康行為得分高于其他組(p0.05)。(2)患者健康行為與自我效能、家庭親密度和家庭適應(yīng)性三者呈正相關(guān)。(3)中青年腦卒中患者自我效能處于中低水平,低效能水平的占34.3%,中效能水平的的占52.4%,高效能水平的的占13.3%。(4)中青年腦卒中患者家庭親密度得分75.73±5.50,家庭適應(yīng)性得分為48.74±5.92,親密度高于國(guó)內(nèi)常模(64.9±8.4)得分,適應(yīng)性低于國(guó)內(nèi)常模(50.9±6.2)得分(p0.05)。(5)中青年腦卒中患者健康行為總體水平處于“有時(shí)”與“經(jīng)常”之間,其各個(gè)維度中,人際關(guān)系維度水平最高,健康責(zé)任和運(yùn)動(dòng)維度水平最低。(6)多因素回歸分析影響中青年腦卒中患者健康行為的關(guān)鍵因素為:自我效能(能單獨(dú)解釋變異的22.3%)、家庭適應(yīng)性、人均收入和年齡。結(jié)論:(1)中青年腦卒中患者自我效能處于中低水平,家庭親密度功能未見(jiàn)不良,家庭適應(yīng)性功能出現(xiàn)不良。(2)年齡大、人均收入高、家庭適應(yīng)性越好、自我效能水平越高的中青年腦卒中患者的健康行為越好。(3)應(yīng)加強(qiáng)對(duì)男性、年齡小、文化程度低、離異或喪偶、人均收入低和醫(yī)保力度小患者的宣教和指導(dǎo)。
[Abstract]:Objective: to describe the status quo of self efficacy, family function and healthy behavior in young and middle-aged stroke patients, and analyze the influencing factors, and further explore the correlation among self efficacy, family function and healthy behavior of young and middle-aged stroke patients. Methods: two Grade 3A hospitals (Jiangxi Provincial people's Hospital) in Nanchang City from June to December 2014 were studied by cross-sectional investigation and design. The first affiliated Hospital of Nanchang University) conducted a face-to-face investigation of 105 young and middle-aged stroke patients who met the inclusion criteria. The patients' self-efficacy, family function and healthy behavior level were measured by HPLPIIP, GSES and FACES II-CVV, respectively. The collected data is processed by SPSS19.0 statistical software package. Results: the scores of health behavior of young and middle-aged women with stroke were higher than those of men (p 0.05); the health behavior of middle age stroke patients was higher than that of young stroke patients; the scores of married patients were higher than those of divorced or widowed patients; the scores of healthy behavior of middle and young stroke patients were higher than those of divorced or widowed patients; the scores of healthy behaviors in middle age stroke patients were higher than those in young stroke patients. The scores of health behavior of patients with upper education level were higher than those of patients with primary school and below, and the scores of health behavior of young and middle-aged stroke patients with high per capita income and strong health insurance were higher than those of other groups. There was a positive correlation between family affinity and family adaptability. The family cohesion score of young and middle-aged stroke patients was 75.73 鹵5.50, and the family adaptability score was 48.74 鹵5.92, which was higher than that of domestic norm (64.9 鹵8.4). The overall level of health behavior of young and middle-aged stroke patients was between "sometimes" and "often", and the interpersonal relationship dimension was the highest in each dimension. Multivariate regression analysis showed that the key factors influencing health behavior of young and middle-aged stroke patients were self-efficacy (22.3%), family adaptability, per capita income and age. Conclusion: (1) Self-efficacy of young and middle-aged stroke patients is in low and middle level, family affinity function is not bad, family adaptive function is poor. (2) Age, per capita income is high, family adaptability is better. The better health behavior of young and middle-aged stroke patients with higher self-efficacy should strengthen the education and guidance to male patients with low age, low education, divorce or widowed spouse, low per capita income and small health care.
【學(xué)位授予單位】：南昌大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.74

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