国际脑血管病杂志
國際腦血管病雜誌
국제뇌혈관병잡지
INTERNATIONAL JOURNAL OF CEREBROVASCULAR DISEASES
2014年
6期
416-421
,共6页
王文蕾%岳耀先%周晓彬%姜小峰%李海峰
王文蕾%嶽耀先%週曉彬%薑小峰%李海峰
왕문뢰%악요선%주효빈%강소봉%리해봉
卒中%脑缺血%脑缺血发作,短暂性%健康素养%患者教育%教育考核%问卷调查
卒中%腦缺血%腦缺血髮作,短暫性%健康素養%患者教育%教育攷覈%問捲調查
졸중%뇌결혈%뇌결혈발작,단잠성%건강소양%환자교육%교육고핵%문권조사
Stroke%Brain Ischemia%Ischemic Attack,Transient%Health Literacy%Patient Education%Educational Measurement%Questionnaires
目的 探讨缺血性脑血管病患者和家属的健康素养对卒中教育的影响.方法 采用健康素养问卷调查表对缺血性脑血管病患者及其家属的健康素养进行问卷调查.被调查者随机通过神经内科医生讲述或自行阅读的方式接受卒中教育,并采用相应的调查问卷评价被调查者对卒中教育内容的掌握情况.结果 共有42例缺血性脑血管病患者(缺血性卒中34例,短暂性脑缺血发作8例)和57名缺血性脑血管病患者家属的资料收集完整纳入分析.健康素养得分为优组(得分＜10分)和得分为差组(得分≥10分)分别为61名和38名,前者年龄较轻者(x2=16.410,P＜0.001)、高中及以上学历者(68.85％对23.68％;x2=19.125,P＜0.001)构成比显著性高于后者,而患者构成比(32.79％对57.89％;x2=6.043,P=0.014)显著性低于后者,但两组男性构成比无显著性差异(55.74％对44.74％;x2=1.134,P=0.287);多变量logistic回归分析显示,健康素养与被调查者年龄[≤40岁:优势比(odds ratio,OR) 7.753,95％可信区间(confidence interval,CI)1.208～49.740;P=0.031]和文化程度(高中及以上:OR3.993,95％ CI 1.305～ 12.218;P=0.015)独立相关,而与性别和角色无关.卒中教育得分为优(≥7分)和差(＜7分)的被调查者分别为57名和42名,前者年龄较轻者(x2 =17.095,P＜0.001)、高中及以上学历者(70.00％对23.08％;x2 =20.836,P＜0.001)、健康素养得分为优者(88.33％对20.51％;x2 =45.968,P＜0.001)构成比显著性高于后者,而性别、角色和卒中教育方式的构成比与后者无显著性差异;多变量logistic回归分析显示,仅健康素养优与卒中教育得分优独立相关(OR 20.147,95％ CI6.089 ～66.655;P ＜0.001).结论 健康素养能显著影响缺血性脑血管病患者及其家属的卒中教育效果,在制定个体化卒中教育方案时应予考虑.
目的 探討缺血性腦血管病患者和傢屬的健康素養對卒中教育的影響.方法 採用健康素養問捲調查錶對缺血性腦血管病患者及其傢屬的健康素養進行問捲調查.被調查者隨機通過神經內科醫生講述或自行閱讀的方式接受卒中教育,併採用相應的調查問捲評價被調查者對卒中教育內容的掌握情況.結果 共有42例缺血性腦血管病患者(缺血性卒中34例,短暫性腦缺血髮作8例)和57名缺血性腦血管病患者傢屬的資料收集完整納入分析.健康素養得分為優組(得分＜10分)和得分為差組(得分≥10分)分彆為61名和38名,前者年齡較輕者(x2=16.410,P＜0.001)、高中及以上學歷者(68.85％對23.68％;x2=19.125,P＜0.001)構成比顯著性高于後者,而患者構成比(32.79％對57.89％;x2=6.043,P=0.014)顯著性低于後者,但兩組男性構成比無顯著性差異(55.74％對44.74％;x2=1.134,P=0.287);多變量logistic迴歸分析顯示,健康素養與被調查者年齡[≤40歲:優勢比(odds ratio,OR) 7.753,95％可信區間(confidence interval,CI)1.208～49.740;P=0.031]和文化程度(高中及以上:OR3.993,95％ CI 1.305～ 12.218;P=0.015)獨立相關,而與性彆和角色無關.卒中教育得分為優(≥7分)和差(＜7分)的被調查者分彆為57名和42名,前者年齡較輕者(x2 =17.095,P＜0.001)、高中及以上學歷者(70.00％對23.08％;x2 =20.836,P＜0.001)、健康素養得分為優者(88.33％對20.51％;x2 =45.968,P＜0.001)構成比顯著性高于後者,而性彆、角色和卒中教育方式的構成比與後者無顯著性差異;多變量logistic迴歸分析顯示,僅健康素養優與卒中教育得分優獨立相關(OR 20.147,95％ CI6.089 ～66.655;P ＜0.001).結論 健康素養能顯著影響缺血性腦血管病患者及其傢屬的卒中教育效果,在製定箇體化卒中教育方案時應予攷慮.
목적 탐토결혈성뇌혈관병환자화가속적건강소양대졸중교육적영향.방법 채용건강소양문권조사표대결혈성뇌혈관병환자급기가속적건강소양진행문권조사.피조사자수궤통과신경내과의생강술혹자행열독적방식접수졸중교육,병채용상응적조사문권평개피조사자대졸중교육내용적장악정황.결과 공유42례결혈성뇌혈관병환자(결혈성졸중34례,단잠성뇌결혈발작8례)화57명결혈성뇌혈관병환자가속적자료수집완정납입분석.건강소양득분위우조(득분＜10분)화득분위차조(득분≥10분)분별위61명화38명,전자년령교경자(x2=16.410,P＜0.001)、고중급이상학력자(68.85％대23.68％;x2=19.125,P＜0.001)구성비현저성고우후자,이환자구성비(32.79％대57.89％;x2=6.043,P=0.014)현저성저우후자,단량조남성구성비무현저성차이(55.74％대44.74％;x2=1.134,P=0.287);다변량logistic회귀분석현시,건강소양여피조사자년령[≤40세:우세비(odds ratio,OR) 7.753,95％가신구간(confidence interval,CI)1.208～49.740;P=0.031]화문화정도(고중급이상:OR3.993,95％ CI 1.305～ 12.218;P=0.015)독립상관,이여성별화각색무관.졸중교육득분위우(≥7분)화차(＜7분)적피조사자분별위57명화42명,전자년령교경자(x2 =17.095,P＜0.001)、고중급이상학력자(70.00％대23.08％;x2 =20.836,P＜0.001)、건강소양득분위우자(88.33％대20.51％;x2 =45.968,P＜0.001)구성비현저성고우후자,이성별、각색화졸중교육방식적구성비여후자무현저성차이;다변량logistic회귀분석현시,부건강소양우여졸중교육득분우독립상관(OR 20.147,95％ CI6.089 ～66.655;P ＜0.001).결론 건강소양능현저영향결혈성뇌혈관병환자급기가속적졸중교육효과,재제정개체화졸중교육방안시응여고필.
Objective To investigate the effect of health literacy on stroke education in patients with ischemic cerebrovascular disease and their family members.Methods Health literacy questionnaire was used to conduct the health literacy questionnaire survey for patients with ischemic cerebrovascular disease and their family members.The respondents received stroke education randomly through neurologists' explanation or self-reading.The corresponding questionnaire was used to evaluate the mastering of the content of stroke education for the respondents.Results The complete data of 42 patients with ischemic cerebrovascular disease (34 ischemic stroke and 8 transient ischemic attack) and 57 family members of the patients with ischemic cerebrovascular disease were collected and enrolled in the analysis.The good health literacy score group (＜ 10) and the poor health literacy score group (≥ 10) were 61 and 38 subjects respectively.The proportions of younger age (x2 =16.410,P ＜0.001) and high school or above (68.85％ vs.23.68％ ;x2 =19.25,P ＜ 0.001) of the former were higher than those of the latter,and the proportion of patients (32.79％vs.57.89％;x2 =6.043,P=0.014) was significantly lower than that of the latter,but there was no significant difference in the proportion of the males between the two groups (55.74％ vs.44.74％ ;x2 =1.134,P =0.287).Multivariate logistic regression analysis showed that health literacy was independently associated with the age of respondents (≤40 years:odds ratio [OR] 7.753,95％ confidence interval [CI]1.208-49.740; P=0.031) and the level of education (high school and above:OR,3.993,95％ CI 1.305-12.218; P=0.015),and it was not correlated with gender and role.Those with good stroke education score (≥7)and poor stroke education score (＜7) were 57 and 42,respectively.The proportions of younger age (x2 =17.095,P ＜0.001),high school and above (70.00％ vs.23.08％ ;x2 =20.836,P ＜ 0.001),and good health literacy score (88.33％ vs.20.51％;x2 =45.968,P＜0.001) were significantly higher than those of the latter,while there were no significant differences in the proportions of gender,role,and stroke education.Multivariatelogistic regression analysis showed that only the good health literacy was independently associated with the stroke education score (OR 20.147,95％ CI6.089-66.655; P＜0.001).Conclusions Health literacy can significantly affected the effect of the stroke education in patients with ischemic cerebrovascular disease and their family members.In the development of individualized stroke education program,it should be considered.
