文章摘要
老年脑卒中康复期患者康复自我效能潜在剖面分析及其与自理能力的差异比较
Potential profile analysis of rehabilitation self-efficacy and its difference with self-care ability in elderly stroke convalescent patients
投稿时间:2025-05-13  修订日期:2025-05-13
DOI:
中文关键词: 老年脑卒中  康复自我效能  自理能力  影响因素  潜在剖面分析
英文关键词: senile stroke  Rehabilitation self-efficacy  Self-care ability  Influencing factors  Potential profile analysis
基金项目:
作者单位邮编
杨莉 安庆市一一六医院 246003
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中文摘要:
      [摘要]目的:分析老年脑卒中康复期患者康复自我效能的潜在类别及其与自理能力的关系。 方法:选择[]44例老年脑卒中康复期患者为研究对象,于患者康复治疗期间采用一般资料调查表、脑卒中康复自我效能量表(SSEQ)、美国国立卫生研究院脑卒中量表(NIHSS)、焦虑自评量表(SAS)、抑郁自评量表(HAMD) 、改良Barthel指数(MBI)、简易智力状态检查量表(MMSE)对患者进行调查。采用Mplus8.3软件对患者康复自我效能进行潜在剖面分析,采用SPSS26.0软件对比不同康复自我效能类别患者的自理能力。结果:老年脑卒中康复期患者康复自我效能分为康复自我效能一般型(27.78%)和康复自我效能良好型(72.22%)2个潜在类别。年龄、文化程度、卒中类型、主要照顾者、康复锻炼依从性、神经功能损伤程度、焦虑、抑郁、认知功能障碍、吞咽障碍是影响老年脑卒中康复期患者康复自我效能潜在剖面类别的预测因素。2个康复自我效能潜在类别患者的自理能力分级存在差异(P<0.01)。结论:老年脑卒中康复期患者康复自我效能分为2个类别,不同康复自我效能类别患者的自理能力存在差异,医务人员可根据患者康复自我效能同质群体,结合康复自我效能类别的相关因素制定并实施相应的干预措施,以提高患者康复自我效能水平,改善患者自理能力。
英文摘要:
      [Abstract] Objective: To analyze the potential categories of rehabilitation self-efficacy and its relationship with self-care ability in elderly stroke convalescent patients.Method: 144 elderly patients recovering from stroke were selected as the study objects. The general data questionnaire, Stroke Rehabilitation Self-Efficacy Scale (SSEQ), National Institutes of Health Stroke Scale (NIHSS), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (HAMD) were used during rehabilitation treatment. The modified Barthel index (MBI) and the Simple Mental State Examination Scale (MMSE) were investigated. Mplus8.3 software was used to analyze the potential profile of patients' rehabilitation self-efficacy, and SPSS26.0 software was used to compare the self-care ability of patients with different categories of rehabilitation self-efficacy. Results: The rehabilitation self-efficacy of elderly stroke patients in rehabilitation period was divided into two potential categories: general type (27.78%) and good type (72.22%). Age, education level, stroke type, primary caregiver, compliance with rehabilitation exercise, degree of neurological impairment, anxiety, depression, cognitive dysfunction and swallowing disorder were the predictors of potential profile categories of rehabilitation self-efficacy in elderly stroke patients during rehabilitation. The self-care ability of the two potential categories of rehabilitation self-efficacy patients was different (P<0.01).Conclusions: The rehabilitation self-efficacy of elderly stroke patients during rehabilitation is divided into two categories, and the self-care ability of patients with different categories of rehabilitation self-efficacy is different. Medical personnel can formulate and implement corresponding intervention measures according to the homogenous group of patients with rehabilitation self-efficacy and the relevant factors of rehabilitation self-efficacy category, so as to improve the level of rehabilitation self-efficacy and self-care ability of patients.
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