Analysis of health behaviors and influencing factors in stroke survivors after discharge
DENG Liping1 XIE Xiaohua2 PAN Lu3 MA Jiahui1 XIAO Jingyi4 YANG Jie1 XIONG Xiaoyun5
1.College of Clinical, the Second Hospital of Shenzhen of Anhui Medical University, Guangdong Province, Shenzhen 518035, China;
2.Department of Nursing, the Second People′s Hospital of Shenzhen, Guangdong Province, Shenzhen 518035, China;
3.Department of Critical Care Medicine, the Second People′s Hospital of Shenzhen, Guangdong Province, Shenzhen 518035, China;
4.College of Nursing, Guangzhou Medical University, Guangdong Province, Guangzhou 510000, China;
5.Department of Neonatology, Shenzhen Maternity and Child Healthcare Hospital, Guangdong Province, Shenzhen 518000, China
Abstract：Objective To explore the current status of health behaviors of stroke patients after discharge for one year, and to analyze the influencing factors. Methods A self-designed general information questionnaire and a stroke patient health behavior scale were used to conduct a questionnaire on a total of 106 stroke patients who were discharged from the hospital for more than one year in the stroke nursing clinic of the Second People′s Hospital of Shenzhen in Guangdong Province from August to December 2019. Results One year after discharge from the hospital, the overall health behaviors of stroke patients were at an upper-moderate level. In univariate analysis, the differences in health behavior scores of stroke patients with different gender, education level, marital status, monthly income, and types of combined chronic diseases were statistically significant (P ＜ 0.05). The results of multiple linear regression analysis showed that gender, education level, and marital status were the influencing factors of healthy behavior (P ＜ 0.05), which could explain 30.8% of the variance of healthy behavior. Conclusion The overall level of healthy behaviors of stroke patients one year after discharge from the hospital is relatively high, but exercise and responsibility need to be improved. In health education, we should be paid attention to men, people with low education levels, and divorced or widowed people, to help establish healthy behaviors, to reduce recurrence of diseases, and to improve the quality of life.
邓丽萍1 谢小华2 潘璐3 马家惠1 肖静怡4 杨洁1 熊小云5. 出院脑卒中患者的健康行为水平现状及影响因素分析[J]. 中国医药导报, 2020, 17(27): 66-69.
DENG Liping1 XIE Xiaohua2 PAN Lu3 MA Jiahui1 XIAO Jingyi4 YANG Jie1 XIONG Xiaoyun5. Analysis of health behaviors and influencing factors in stroke survivors after discharge. 中国医药导报, 2020, 17(27): 66-69.
[1] 《中国脑卒中防治报告2018》编写组.我国脑卒中防治仍面临巨大挑战——《中国脑卒中防治报告2018》概要[J].中国循环杂志，2019，34（2）：105-119.
[2] Gao Y，Jiang B，Sun H，et al. The burden of stroke in China：Results from a nationwide population-based epidemiological survey [J]. PLoS One，2018，13（12）：e0208398.
[3] 陈斌.缺血性脑卒中二级预防研究进展[J].中国实用医药，2019，14（22）：194-195.
[4] O′donnell MJ，Chin SL，Rangarajan S，et al. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries （INTERSTROKE）：a case-control study [J]. Lancet，2016，388（10046）：761-775.
[5] Feigin VL，Norrving B，George MG，et al. Prevention of stroke：a strategic global imperative [J]. Nat Rev Neurol，2016，12（9）：501-512.
[6] 闫婷婷，郑蔚，段好丽，等.首发脑卒中患者健康行为现状及相关因素的研究[J].现代预防医学，2016，43（21）：3940-3944.
[7] 武洋，高波，钟珊珊，等.脑卒中再住院患者健康生活方式现状及影响因素分析[J].护理学杂志，2018，33（14）：29-31.
[8] 吴长鸿，刘斌.第四届全国脑血管病学术会议[J].中华医学信息导报，1996（6）：4.
[9] 金晓燕.护士健康促进生活方式与职业幸福感的现状分析与相关性研究[D].南昌：南昌大学，2016.
[10] 万丽红，熊小妮，潘俊豪，等.脑卒中患者健康行为量表的编制及信效度检验[J].护理学杂志，2017，32（1）：25-29.
[11] Kamali AS，Sadeghi R，Tol A，et al. Reliability and Validity of Kurdish Language Version of Health Promoting Lifestyle Profile Ⅱ among Kurdish Healthcare Providers Kurdish Version of HPLP-Ⅱ [J]. Arch Iran Med，2016， 19（12）：824-831.
[12] 李娟，Wu B，刘纪汝，等.脑卒中住院患者健康素养与健康行为的相关性研究[J].护理学杂志，2019，34（11）：13-15.
[13] Billinger SA，Arena R，Bernhardt J，et al. Physical activity and exercise recommendations for stroke survivors：a statement for healthcare professionals from the American Heart Association/American Stroke Association [J]. Stroke，2014，45（8）：2532-2553.
[14] Regan EW，Handlery R，Liuzzo DM，et al. The Neurological Exercise Training （NExT） program：A pilot study of a community exercise program for survivors of stroke [J]. Disabil Health J，2019，12（3）：528-532.
[15] 万丽红，张小培，洪华，等.脑卒中病人的健康行为及其影响因素研究[J].护理研究，2010，24（1）：1-4.
[16] Kaddumukasa MN，Katabira E，Sajatovic M，et al. Influence of Dietary Salt Knowledge，Perceptions，and Beliefs on Consumption Choices after Stroke in Uganda [J]. J Stroke Cerebrovasc Dis，2017，26（12）：2935-2942.
[17] 袁蕾，孔亚南，滕雪，等.社区脑卒中患者健康行为水平的调查与分析[J].中华现代护理杂志，2015（36）：4365-4368.
[18] 戎艳琴.脑卒中患者健康行为现状及影响因素研究[D].保定：河北大学，2017.
[19] 杨小娇，汪凤兰，张小丽，等.家庭关怀度和社会支持对老年人健康促进行为影响[J].中国公共卫生，2018，34（9）：1266-1269.
[20] 史晓璐.脑卒中恢复期患者家庭功能及自护能力对生活质量的影响[D].长春：长春中医药大学，2019.
[21] 王燕飞，陈紫君.青年脑卒中患者家庭康复体验需求的质性研究[J].中国现代医生，2018，56（29）：87-90，94.
[22] Clark AM，Desmeules M，Luo W，et al. Socioeconomic status and cardiovascular disease：risks and implications for care [J]. Nat Rev Cardiol，2009，6（11）：712-722.
[23] de Wit L，Theuns P，Dejaeger E，et al. Long-term impact of stroke on patients′ health-related quality of life [J]. Disabil Rehabil，2017，39（14）：1435-1440.
[24] 金善花.脑卒中患者健康素养、健康促进行为与营养风险相关性研究[D].延吉：延边大学，2019.
2020, Vol. 17 
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