首发缺血性脑卒中患者130例生活方式的调查与分析

目的了解首发缺血性脑卒中住院患者的一般资料及其生活方式状况,以便针对性地实施健康教育。方法 2010年7月至2011年3月,用便利抽样法选择在南京市某三级甲等医院住院的脑卒中患者130例,采用自制问卷对其进行生活方式的调查。结果被调查患者中,60岁及以上者占55.38%,18～59岁者占44.62%。不同婚姻状况、文化程度、经济状况(月收入)、家庭支持情况的患者,其生活方式评分不同,差异均有统计学意义(均P<0.05)。脑卒中患者生活方式总量表平均得分为(113.88±15.77)分,处于一般水平,各条目平均分为(2.19±0.61)分,各维度平均得分由高到低依次是:人际间关系、营养、自我实现、健康责任、压力管理、运动等。结论首发缺血性脑卒中患者中青年人逐渐增多;总体生活方式水平不容乐观。医护人员应对患者进行系统性、个体性、持续性的健康教育,促进其改善生活方式,以期降低脑卒中的发生率及复发率。

Survey and Analysis of Health-promoting Life-style among 130 Patients with First Ischemic Stroke

Objective To investigate the general information and the status of health-promoting life-style among hospitalized ischemic stroke patients,so as to provide a basis for conducting health education individually.Methods From July 2010 to March 2011,130 patients were investigated with a self-designed general information questionnaire on health promoting life-style.Results Patients of 60 years old and older and patients of 18-59 years old accounted for 55.38% and 44.62% respectively.Patients with different,marital status,educational levels,economic status(monthly income),family support got different scores of health-promoting life-style and the difference was statistically significant(P<0.05).The mean score of health-promoting lifestyle was at an ordinary level(113.88±15.77).The mean score of every item was 2.19±0.61.The sequence of the six dimensions was ranked as interpersonal relationships,nutrition,self-actualization,health responsibility,stress management and physical activity.Conclusion The number of young people with ischemic stroke is increasing.The overall condition of health-promoting lifestyle of ischemic stroke is not optimistic.Medical staff should conduct systematic,individual,continuous health education for those patients to improve their level of health-promoting lifestyle,with a view to reducing the incidence and the recurrence rate of stroke.