中国北京脑卒中患者家庭功能与健康信念之间的相关性
Correlation Between Family Functioning and Health Beliefs in Patients with Stroke in Beijing, China.
作者信息
Zhang Lingli, Shu YaoYa, Han Chunjie, Liu Jihong
机构信息
Department of Neurology, Beijing Luhe Hospital, Capital Medical University, Beijing, People's Republic of China.
Department of Nursing, The Second Affiliated Hospital of Nanchang University, Nanchang, People's Republic of China.
出版信息
J Multidiscip Healthc. 2023 Apr 18;16:1067-1074. doi: 10.2147/JMDH.S394396. eCollection 2023.
OBJECTIVE
To explore the relationship between family functioning and health beliefs in patients with stroke.
METHODS
A total of 253 patients with stroke were selected from Beijing Luhe Hospital, Capital Medical University from May 2021 to November 2021. All patients were of Chinese nationality, and 240 valid questionnaires were obtained. The Family Assessment Device and Champion's Health Belief Model Scale were used to collect patients' family functioning and health beliefs information, and correlation analysis was used to analyse it.
RESULTS
The total score for family functioning in patients with stroke was 130.5 (22). The highest mean score was 2.46 for behaviour control, and the lowest score was 2.00 for total function. The items were ranked from high to low in this order: behaviour control, emotional response, role, communication, emotional intervention, problem solving and total function. The total score of the patients' health beliefs was 116 (33), The items were ranked from high to low in this order: were self-efficacy, health motivation, perceived benefit, susceptibility, severity and perceived impairment. The scores for family functioning were negatively correlated with the total scores for health beliefs ( < 0.05).
DISCUSSION
Stroke can reduce the self-care ability of the patients and aggravate the burden of family care. This can lead to abnormal function roles for patients and their families, emotional reactions in patients with stroke and weaker levels of family functioning.
CONCLUSION
The health beliefs scores of patients with stroke were at the middle level, and family functioning was at the general level. There was a negative correlation between the family functioning score and the total score for health beliefs in patients with stroke.
目的
探讨脑卒中患者家庭功能与健康信念之间的关系。
方法
选取2021年5月至2021年11月首都医科大学附属北京潞河医院的253例脑卒中患者。所有患者均为中国国籍,共获得有效问卷240份。采用家庭评估工具和冠军健康信念模型量表收集患者的家庭功能和健康信念信息,并进行相关性分析。
结果
脑卒中患者家庭功能总分130.5(22)。行为控制的平均得分最高,为2.46,总功能得分最低,为2.00。各项得分从高到低依次为:行为控制、情感反应、角色、沟通、情感介入、问题解决和总功能。患者健康信念总分116(33),各项得分从高到低依次为:自我效能、健康动机、感知利益、易感性、严重性和感知障碍。家庭功能得分与健康信念总分呈负相关(<0.05)。
讨论
脑卒中会降低患者的自我护理能力,加重家庭护理负担。这可能导致患者及其家庭角色功能异常、脑卒中患者出现情感反应以及家庭功能水平较弱。
结论
脑卒中患者的健康信念得分处于中等水平,家庭功能处于一般水平。脑卒中患者的家庭功能得分与健康信念总分呈负相关。