脑卒中高危人群健康信念与健康行为调查研究
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摘要
目的:了解脑卒中高危人群健康信念和健康行为状况,为制定针对性干预措施提供依据。方法:采用健康信念模型量表和健康促进生活质量量表对深圳市社区120例高危脑卒中人群进行调查,分析其健康信念和健康行为。结果:脑卒中高危人群健康信念总均分为(114.86±7.50)分,条目平均分为(3.28±0.21)分,其中,自我效能维度得分最高,感知障碍维度得分最低。高危人群健康行为总均分(128.44±8.51)分,条目平均分为(2.47±0.17)分,其中,人际关系维度得分最高,体育运动维度得分最低。健康信念与健康行为评分呈正相关关系(r=0.394,P<0.01)。结论:脑卒中高危人群健康信念越高,健康行为越好,医务人员应重点关注健康信念中的感知障碍,并在体育运动维度的健康行为方面给予更多指导。
Objective:To understand the health beliefs and health behaviors in high-risk population of stroke for providing the basis in the formulation of targeted intervention.Methods:One hundred and twenty high-risk stroke patients in Shenzhen community were investigated using the health belief model scale and health promotion quality of life scale,and their health beliefs and health behaviors were analyzed.Results:The average scores of health beliefs and items in high-risk population of stroke were(114.86±7.50) and(3.28±0.21),respectively,the score of self-efficacy dimension was the highest,and the score of perceived disability dimension was the lowest.The average scores of health behavior and items in high-risk population of stroke were(128.44±8.51) and(2.47±0.17),respectively,the score of interpersonal relationship dimension was the highest,and the score of physical exercise dimension was the lowest.The score of health belief was positively related to the score of health behavior(r=0.394,P<0.01).Conclusions:The higher the health beliefs in high-risk population of stroke is,the better the health behaviors is.Medical staff should focus on the perceived barriers in health beliefs,and give more guidance on health behaviors in the dimension of physical activity.
Objective:To understand the health beliefs and health behaviors in high-risk population of stroke for providing the basis in the formulation of targeted intervention.Methods:One hundred and twenty high-risk stroke patients in Shenzhen community were investigated using the health belief model scale and health promotion quality of life scale,and their health beliefs and health behaviors were analyzed.Results:The average scores of health beliefs and items in high-risk population of stroke were(114.86±7.50) and(3.28±0.21),respectively,the score of self-efficacy dimension was the highest,and the score of perceived disability dimension was the lowest.The average scores of health behavior and items in high-risk population of stroke were(128.44±8.51) and(2.47±0.17),respectively,the score of interpersonal relationship dimension was the highest,and the score of physical exercise dimension was the lowest.The score of health belief was positively related to the score of health behavior(r=0.394,P<0.01).Conclusions:The higher the health beliefs in high-risk population of stroke is,the better the health behaviors is.Medical staff should focus on the perceived barriers in health beliefs,and give more guidance on health behaviors in the dimension of physical activity.
引文
[1] 孙怡,杨任民,韩景献.实用中西医结合神经病学[M].2版.北京:人民卫生出版社,2011.
[2] 陈伟伟,高润霖,刘力生,等.《中国心血管病报告2014》概要[J].中国循环杂志,2015,31(7):617.
[3] 孙肇芬,高毓秀.教学原理与方法护理上之应用[M].台北:伟华书局有限公司,1997:19.
[4] CHAMPION VL.Use of the health belief model in determining frequency of breast self-examination[J].Res Nurs Health,1985,8(4):373.
[5] 万丽红,潘俊豪,张小培,等.健康信念在高血压合并脑卒中患者健康知识与健康行为问的中介效应[J].中华行为医学与脑科学杂志,2017,26(9):847.
[6] WALKER SN,SECHRIST KR,PENDER NJ.The Health-Promoting Lifestyle Profile:development and psychometric characteristics[J].Nurs Res,1987,36(2):76.
[7] 刘莹,万丽红.缺血性脑卒中患者健康行为与健康心理控制源的相关性研究[J].重庆医学,2018,47(2):223.
[8] ERBIL N,B?LüKBAS N.Beliefs,attitudes,and behavior of Turkish women about breast cancer and breast self-examination according to a Turkish version of the Champion Health Belief Model Scale[J].Asian Pac J Cancer Prev,2012,13(11):5823.
[9] DORMAN JS,VALDEZ R,LIU T,et al.Health beliefs among individuals at increased familial risk for type 2 diabetes:Implications for prevention,[J].Diabet Res Clin Pract,2012,96(2):156.
[10] 刘华玲,时艳霞,朱海萍,等.中青年脑卒中患者健康行为调查及影响因素分析[J].中华护理杂志,2015,50(8):981.
[11] 万丽红,廖文龙,隋伟静,等.社区综合干预对高血压患者预防脑卒中知信行的影响[J].现代临床护理,2015,14(8):26.
[12] 王平平,孔璇,李晶华,等.吉林省城乡居民健康行为现状及影响因素研究[C].//中华医学会第十七次全国行为医学学术会议:2015.
[13] KAVLAK O,ATAN SU,SIRIN A,et al.Pregnant Turkish women with low income:Their anxiety,health-promoting lifestyles,and related factors[J].Int J Nurs Pract,2013,19(5):507.
[14] MIRGHAFOURVAND M,SEHHATI F,RAHIMI M.Health-promoting lifestyle and its demographic predictors in infertile couples referred to infertility clinic of Tabriz Al-Zahra Hospital,2013[J].Scand J Caring Sci,2014,3(3):175.
[15] 万丽红,阮恒芳,周雯莉,等.高血压与首发高血压相关脑卒中患者的健康信念及行为[J].中华高血压杂志,2014,22(9):859.
[16] 靳雪征.健康信念理论的建立和发展[J].中国健康教育,2007,23(12):945.
[17] SULLIVAN KA,WHITE KM,YOUNG RM,et al.The Cerebrovascular Attitudes and Beliefs Scale (CABS-R):the factor structure and psychometric properties of a tool for assessing stroke-related health beliefs[J].Int J Behav Med,2010,17(1):67.
[18] 江玉棉,陈海莲,简爱华,等.脑卒中患者居家功能锻炼依从性与健康信念的相关性研究[J].中国临床护理,2015,7(2):93.
[19] 李淑霞,汤嘉敏.老年高血压患者自我效能与自觉健康控制的相关性研究[J].护理管理杂志,2013,13(1):13.
[2] 陈伟伟,高润霖,刘力生,等.《中国心血管病报告2014》概要[J].中国循环杂志,2015,31(7):617.
[3] 孙肇芬,高毓秀.教学原理与方法护理上之应用[M].台北:伟华书局有限公司,1997:19.
[4] CHAMPION VL.Use of the health belief model in determining frequency of breast self-examination[J].Res Nurs Health,1985,8(4):373.
[5] 万丽红,潘俊豪,张小培,等.健康信念在高血压合并脑卒中患者健康知识与健康行为问的中介效应[J].中华行为医学与脑科学杂志,2017,26(9):847.
[6] WALKER SN,SECHRIST KR,PENDER NJ.The Health-Promoting Lifestyle Profile:development and psychometric characteristics[J].Nurs Res,1987,36(2):76.
[7] 刘莹,万丽红.缺血性脑卒中患者健康行为与健康心理控制源的相关性研究[J].重庆医学,2018,47(2):223.
[8] ERBIL N,B?LüKBAS N.Beliefs,attitudes,and behavior of Turkish women about breast cancer and breast self-examination according to a Turkish version of the Champion Health Belief Model Scale[J].Asian Pac J Cancer Prev,2012,13(11):5823.
[9] DORMAN JS,VALDEZ R,LIU T,et al.Health beliefs among individuals at increased familial risk for type 2 diabetes:Implications for prevention,[J].Diabet Res Clin Pract,2012,96(2):156.
[10] 刘华玲,时艳霞,朱海萍,等.中青年脑卒中患者健康行为调查及影响因素分析[J].中华护理杂志,2015,50(8):981.
[11] 万丽红,廖文龙,隋伟静,等.社区综合干预对高血压患者预防脑卒中知信行的影响[J].现代临床护理,2015,14(8):26.
[12] 王平平,孔璇,李晶华,等.吉林省城乡居民健康行为现状及影响因素研究[C].//中华医学会第十七次全国行为医学学术会议:2015.
[13] KAVLAK O,ATAN SU,SIRIN A,et al.Pregnant Turkish women with low income:Their anxiety,health-promoting lifestyles,and related factors[J].Int J Nurs Pract,2013,19(5):507.
[14] MIRGHAFOURVAND M,SEHHATI F,RAHIMI M.Health-promoting lifestyle and its demographic predictors in infertile couples referred to infertility clinic of Tabriz Al-Zahra Hospital,2013[J].Scand J Caring Sci,2014,3(3):175.
[15] 万丽红,阮恒芳,周雯莉,等.高血压与首发高血压相关脑卒中患者的健康信念及行为[J].中华高血压杂志,2014,22(9):859.
[16] 靳雪征.健康信念理论的建立和发展[J].中国健康教育,2007,23(12):945.
[17] SULLIVAN KA,WHITE KM,YOUNG RM,et al.The Cerebrovascular Attitudes and Beliefs Scale (CABS-R):the factor structure and psychometric properties of a tool for assessing stroke-related health beliefs[J].Int J Behav Med,2010,17(1):67.
[18] 江玉棉,陈海莲,简爱华,等.脑卒中患者居家功能锻炼依从性与健康信念的相关性研究[J].中国临床护理,2015,7(2):93.
[19] 李淑霞,汤嘉敏.老年高血压患者自我效能与自觉健康控制的相关性研究[J].护理管理杂志,2013,13(1):13.