实用心脑肺血管病杂志
實用心腦肺血管病雜誌
실용심뇌폐혈관병잡지
PRACTICAL JOURNAL OF CARDIAC CEREBRAL PNEUMAL AND VASCULAR DISEASE
2014年
8期
19-21
,共3页
曾丽媚%陈先辉%孙静钗%苏少汝%刘萍%方瑞娟%邓健忠%王玉媛%张莉%谢红莲%卢楚红
曾麗媚%陳先輝%孫靜釵%囌少汝%劉萍%方瑞娟%鄧健忠%王玉媛%張莉%謝紅蓮%盧楚紅
증려미%진선휘%손정차%소소여%류평%방서연%산건충%왕옥원%장리%사홍련%로초홍
脑缺血%家属%疾病知识%疾病不确定感%复发
腦缺血%傢屬%疾病知識%疾病不確定感%複髮
뇌결혈%가속%질병지식%질병불학정감%복발
Ischemia stroke%Families%Disease cognition%Uncertainty in illness%Recurrence
目的：探讨家属疾病认知水平和疾病不确定感与缺血性脑卒中患者复发风险的关系。方法采用便利抽样法选取2013年1月-2014年2月深圳市3所二级甲等医院收治的389例缺血性脑卒中住院患者及其家属，根据患者发病次数将其分为对照组288例和复发组101例。采用自行编制的一般资料问卷、脑卒中知识问卷和疾病不确定感家属量表对患者家属进行调查。结果复发组患者家属疾病认知水平得分高于对照组患者家属，疾病不确定性维度、信息缺乏性维度及疾病不确定感总维度得分均低于对照组（ P﹤0.05）；直线相关分析显示，家属疾病认知水平得分与缺血性脑卒中复发次数呈负相关（ r=-0.245，P=0.014），疾病不确定感得分与缺血性脑卒中复发次数呈正相关（ r=0.220，P=0.010）。结论家属疾病认知水平和疾病不确定感是缺血性脑卒中复发的影响因素，应采取措施提高家属疾病认知水平、降低其疾病不确定感，从而降低缺血性脑卒中患者复发风险。
目的：探討傢屬疾病認知水平和疾病不確定感與缺血性腦卒中患者複髮風險的關繫。方法採用便利抽樣法選取2013年1月-2014年2月深圳市3所二級甲等醫院收治的389例缺血性腦卒中住院患者及其傢屬，根據患者髮病次數將其分為對照組288例和複髮組101例。採用自行編製的一般資料問捲、腦卒中知識問捲和疾病不確定感傢屬量錶對患者傢屬進行調查。結果複髮組患者傢屬疾病認知水平得分高于對照組患者傢屬，疾病不確定性維度、信息缺乏性維度及疾病不確定感總維度得分均低于對照組（ P﹤0.05）；直線相關分析顯示，傢屬疾病認知水平得分與缺血性腦卒中複髮次數呈負相關（ r=-0.245，P=0.014），疾病不確定感得分與缺血性腦卒中複髮次數呈正相關（ r=0.220，P=0.010）。結論傢屬疾病認知水平和疾病不確定感是缺血性腦卒中複髮的影響因素，應採取措施提高傢屬疾病認知水平、降低其疾病不確定感，從而降低缺血性腦卒中患者複髮風險。
목적：탐토가속질병인지수평화질병불학정감여결혈성뇌졸중환자복발풍험적관계。방법채용편리추양법선취2013년1월-2014년2월심수시3소이급갑등의원수치적389례결혈성뇌졸중주원환자급기가속，근거환자발병차수장기분위대조조288례화복발조101례。채용자행편제적일반자료문권、뇌졸중지식문권화질병불학정감가속량표대환자가속진행조사。결과복발조환자가속질병인지수평득분고우대조조환자가속，질병불학정성유도、신식결핍성유도급질병불학정감총유도득분균저우대조조（ P﹤0.05）；직선상관분석현시，가속질병인지수평득분여결혈성뇌졸중복발차수정부상관（ r=-0.245，P=0.014），질병불학정감득분여결혈성뇌졸중복발차수정정상관（ r=0.220，P=0.010）。결론가속질병인지수평화질병불학정감시결혈성뇌졸중복발적영향인소，응채취조시제고가속질병인지수평、강저기질병불학정감，종이강저결혈성뇌졸중환자복발풍험。
Objective To investigate the correlated between disease cognition and uncertainty of family members and recurrence risk in patients with ischemic stroke. Methods From January 2013 to February 2014,389 patients with ischemic stroke and their family members were chosen by convenience sampling method admitted in 3 secondary hospitals of Shenzhen,and they were divided into control group ( n =288 ) and recurrence group ( n =101 ) according to the recurrence of ischemic stroke. Then investigated the disease cognition and uncertainty of family members by self-made general information questionnaire, stroke knowledge questionnaire and disease uncertainty scale. Results The score of disease cognition of family members of re-currence group was higher than that of control group,while the scores of disease uncertainty dimension,lack of information di-mension and the total dimensions of disease uncertainty were lower than those of control group(P﹤0. 05). Linear correlation a-nalysis showed that,the score of disease cognition of family members of recurrence group was negatively correlated with the recur-rence frequency of ischemic stroke(r= -0. 245,P=0. 014),while the score of disease uncertainty was positively correlated with the recurrence frequency of ischemic stroke(r=0. 220,P=0. 010). Conclusion Disease cognition and uncertainty of family members are influencing factors of recurrence of ischemic stroke,thus measures should be take to improve the disease cog-nition of family members,reduce disease uncertainty,to reduce the recurrence of ischemic stroke.
