缺血性脑卒中患者功能锻炼依从性与健康行动阶段、服药依从性的相关性研究

关键词：脑卒中  功能锻炼  依从性  健康行动阶段  相关性

Keywords:stroke  functional exercise  compliance  health action phase  correlation

摘要：

      摘要 目的：探讨缺血性脑卒中（ischemic stroke， IS）患者功能锻炼的依从性与健康行动阶段、服药依从性之间的关系。 方法：通过便利抽样法选择2023年11月—12月在新疆维吾尔自治区人民医院神经内科住院的313例缺血性脑卒中患者为研究对象，采用一般资料调查问卷、脑卒中患者功能锻炼依从性量表、健康行动阶段评定问卷、中文版Morisky 服药依从性测量量表（MMAS-8）对患者进行面对面问卷调查。 结果：IS患者功能锻炼依从性得分：（40.85±9.23）分；服药依从性得分：（6.95±1.31）分；功能锻炼依从性与服药依从性呈显著正相关（r=0.118，P＜0.05），功能锻炼依从性与健康行为阶段呈显著正相关（r=0.303，P＜0.05）。IS患者功能锻炼依从性的多元回归分析显示，家庭人均月收入、住院时间、健康行动阶段是影响个人功能锻炼依从性的影响因素（P＜0.05）。 结论：IS患者功能锻炼依从率与健康意愿、服药依从性、家庭人均收入呈正相关，与住院时长负相关。

Abstract:

      Abstract Objective： To investigate the relationship between functional exercise compliance and health action stage and medication compliance in patients with ischemic stroke. Method： A total of 313 patients with ischemic stroke who were hospitalized in the Department of Neurology of the People's Hospital of Xinjiang Uygur Autonomous Region from November to December 2023 were selected as study objects by convenience sampling method. Data were collected through face-to-face questionnaire surveys, including a general data questionnaire， the Functional Exercise Compliance Scale of stroke patients，the Health Action Stage Assessment Questionnaire， and the Chinese version of Morisky medication adherence scale（MMAS-8）. Result： The compliance of functional exercise in ischemic stroke patients was 40.85±9.23； Medication compliance score 6.95±1.31； Functional exercise compliance was significantly positively correlated with medication compliance （r=0.118， P<0.05）， and functional exercise compliance was significantly positively correlated with health behavior stage （r=0.303， P<0.05）. Multiple regression analysis of ischemic stroke patients' functional exercise compliance showed that per capita family monthly income， hospital stay and health action stage were the influencing factors for individuals' functional exercise compliance （P<0.05）. Conclusion： Functional exercise compliance in patients with ischemic stroke patients is positively correlated with health intention， medication compliance and family per capita income， while negatively correlated with hospital length of stay.