缺血性脑卒中患者自我护理能力与生活质量的相关性分析

摘要

目的：了解缺血性脑卒中患者自我护理能力与生活质量水平，并探讨两者的相关性。方法采用便利抽样法选取119例缺血性脑卒中患者为调查对象，利用自我护理能力测定量表（ ESCA）和简明健康测量量表（SF-36）对其进行问卷调查，采用Pearson相关分析法分析两者的相关性。结果本组患者自我护理能力总分为（96．61±18．30）分，其中10．92％的患者总体自我护理能力处于低等水平，78．99％处于中等水平，10．08％处于高等水平。患者生活质量总分为（86．51±17．57）分。患者自我护理能力总分及自我概念、健康知识水平、自我护理技能维度得分与生活质量总分呈正相关（ r分别为0．253，0．249，0．300，0．260；P＜0．05）。结论缺血性脑卒中患者自我护理能力水平不高，与生活质量水平密切相关，提示应该通过增强患者的自护理论和技能，提高其自护能力以提高生活质量。%Objective To comprehend the level of self-care agency and quality of life in ischemic stroke patients and to explore the relationship between both sides.Methods Totals of 119 cases of ischemic stroke patients were chosen by convenience sampling.They were surveyed about their self-care agency and quality of life by the Exercise of Self-Care Agency Scale ( ESCA ) and 36-Item Short Form Health Survey (SF-36).The result had been analyzed by Pearson correlation analysis.Results The total score of ESCA was (96.61 ±18.30),and 10.92% of patients in low level of self-care agency, 78.99% in middle level,and 10.08%in high level.The total score of SF-36 was (86.51 ±17.57).The correlation analysis results showed that self-care agency, self-concept, health knowledge level and self-care skill were positively correlated with quality of life of patients.Conclusions Ischemic stroke patient’ s self-care agency has positive relationship with their quality of life, which indicates that more attention should be paid on the improvement of their self-care knowledge and skills.