摘要
目的:探讨老年脑卒中患者三类医嘱行为依从的模式及其在人口学变量上的特点。方法:采用自编患者基本信息调查表和脑卒中行为改变问卷(SBCI)对241位社区老年脑卒中患者施测。结果:①老年脑卒中患者各项医嘱行为的依从情况都有改变;②老年脑卒中患者对避免有害物质行为依从得分最高,日常健康行为次之,预防保健行为最低。三类行为依从得分差异显著;③日常健康行为和预防保健行为的依从情况无性别差异,但是在避免有害物质行为上,男性的依从情况显著地低于女性;城市患者在三类行为上的依从情况均显著高于乡村患者,尤其在预防照料行为上,城乡差异更大。结论:老年脑卒中患者医嘱行为依从模式表现为预防保健行为依从情况最差,避免有害物质方面依从程度最高。虽然不同性别和城乡的老年患者在此模式上存在一定差异,但总体模式比较稳定。
Objective：The aim of present study was to identify the compliance pattern in older stroke survivor to three kinds of health behaviors recommended by doctors.Methods：241 stroke survivors were interviewed with Stroke Behavior Change Inventory（SBCI） and Fundamental Information Inventory.Results：①Compliance in elder-adults to all kinds of health behaviors were improved after stroke.②Compliance to the harmful substance avoidance was the highest.Compliance to the health practices was better than the preventive health care.There were significant differences between the three categories behaviors.③Although compliance to both health practices and preventive health care in male patients was similar to that in female patients,the compliance in male patients to harmful substance avoidance was significantly worse than the counterpart in female patients.There were however significant gaps in the compliance to all kinds of behaviors between patients from cities and those from countries.Especially in the preventive health care,the difference was more evident between the two groups.Conclusion：The patients show the worst compliance to preventive health care and the best to harmful substance avoidance.This compliance pattern is relatively stable,despite of the existence of difference in different gender and between patients from cites and from countries.
出处
《中国临床心理学杂志》
CSSCI
CSCD
2010年第6期792-795,共4页
Chinese Journal of Clinical Psychology
基金
教育部人文社会科学重点研究基地重大项目(08JJDXLX268)
关键词
老年
脑卒中
健康行为
依从性
依从模式
Elder-adult
Stroke
Health behaviors
Compliance
Compliance pattern
