家庭功能对脑卒中患者自我管理行为及复发的影响

目的了解脑卒中患者家庭功能和自我管理行为水平,探讨家庭功能对患者疾病复发的影响。方法采用家庭功能评估量表、中风自我管理行为评定量表对243例脑卒中患者进行调查;随访2年观察复发或死亡病例,并再次调查患者家庭功能。结果脑卒中患者家庭功能总分6.20±1.99,自我管理行为总分143.30±7.22,两者呈正相关(P<0.01);多元线性回归分析显示,家庭功能是自我管理行为的影响因素(P<0.01)。脑卒中患者家庭功能良好与障碍分别为61.32%、38.68%,随访2年脑卒中复发率分别为2.17%、11.59%;二者生存分布差异有统计学意义(P<0.01)。结论脑卒中患者家庭功能障碍占较大比例,其严重影响患者自我管理行为,应采取干预措施提高脑卒中患者的家庭功能,从而提高自我管理行为,降低疾病复发率。

The impact of family function on selfmanagement behavior and recurrence in stroke patients

Objective To investigate the levels of family function and self-management behavior in stroke patients,and to explore the impact of family function on stroke recurrence.Methods A total of 243 stroke patients were investigated in terms of their family function and self-management behaviors,then two-year follow-ups were conducted to determine patientst outcomes and their family function was assessed again.Results The total APGAR score evaluating family funcion was 6.20±1.99 and self-management behavior score was 143.30±7.22,showing significantly positive correlation between them (P<0.01).Multiple linear regression analysis indicated that family function was a predictor of self-management behavior (P <0.01).Greater than sixty percent (61.32%)of the stroke patients had satisfactory family function,but 38.68% of them showed family dysfunction,with the recurrence rate being 2.17% and 11.59%respectively.The survival distribution of the patients who had satisfactory family function was significantly different from those with family dysfunction (P<0.01).Conclusion A certain percentage of stroke patients have family dysfunction that affects their self-management behaviors.Interventions for improving family function of the patient should be taken to enhance their self-management agency,thus to prevent stroke recurrence.