脑卒中高危人群保护动机与健康行为的相关性

目的探讨脑卒中高危人群保护动机与健康行为的相关性。方法采用便利采样法选取脑卒中护理门诊进行筛查和随访的脑卒中高危人群121例为研究对象，采用一般资料调查表、脑卒中高危人群保护动机问卷（PMQ-SHRP）与脑卒中健康行为量表（HBS-SP）调查高危人群的保护动机与健康行为，分析两者之间的关系。结果脑卒中高危人群保护动机总分（184.38±14.25）分，条目均分（3.76±0.29）分；健康行为总分（76.93±10.46）分，条目均分（3.08±0.42）分。保护动机与健康行为呈正相关关系（P < 0.01）；保护动机中内外部奖励、反应成本和自我效能维度与健康行为均呈正相关关系（P < 0.01）。结论可通过提高脑卒中高危人群对严重性、易感性、反应效能的认识，降低内外部奖励、反应成本，增强自我效能，从而促发保护动机，建立健康行为。

Correlation between protection motivation and healthy behavior in high risk patients with stroke

ObjectiveTo investigate the relationship between protection motivation and healthy behavior in high risk patients with stroke.MethodsA total of 121 patients with high-risk stroke, who were screened and followed up in the stroke nursing clinic, were selected as the study objects using the convenient sampling method.The general data questionnaire, protection motivation questionnaire(PMQ-SHRP)and stroke health behavior scale(HBS-SP)were used to investigate the protection motivation and healthy behavior of the high-risk population, and the relationship between protection motivation and healthy behavior was analyzed.ResultsThe total score of protection motivation was(184.38±14.25)points, and the average score of items was(3.76±0.29)points.The total score of healthy behavior was(76.93±10.46)points, and the average score of items was(3.08±0.42)points.The protection motivation was positively correlatied with healthy behavior(P < 0.01).The internal and external rewards, response costs and self-efficacy dimensions of protection motivation were positively correlated with healthy behavior(P < 0.01).ConclusionsImproving the awareness of the severity, susceptibility and response efficiency of stroke high-risk population can reduce the internal and external rewards and response costs, and enhance self-efficacy to promote the protection motivation and establish healthy behaviors.