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| Current status and correlation analysis of self-management behaviors among stroke patients based on their traditional Chinese medicine constitutions |
| Hits 82 Download times 38 Received:May 20, 2024 |
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| DOI
10.11656/j.issn.1672-1519.2024.10.09 |
| Key Words
stroke;self-management behavior;family care;fear of disease progression;chronic disease resource utilization |
| Author Name | Affiliation | E-mail | | ZHANG Yajun | Department of Traditional Chinese Medicine Surgery, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China | | | ZHUANG Yinan | Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | ZHU Yue | Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | ZHANG Siai | Cardiac Intensive Care Unit, Meizhou People's Hospital, Meizhou 514031, China | | | WANG Shuling | Department of Nursing, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China | wsl_722@sina.com |
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| Abstract
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| [Objective] To understand the current status and influencing factors of self-management behavior in stroke patients,and to explore its correlation with family care,fear of disease progression,and utilization of chronic disease resources. [Methods] Convenience sampling was used to select 408 stroke inpatients from a tertiary Grade A hospital in Tianjin from February 2022 to May 2023 as the survey subjects. The general information questionnaire,Family APGAR Scale,Fear of Disease Questionnaire,Chronic IHes Rsoures Survey,Traditional Chinese Medicine Constitution Classification and Judgment Scale,and the Stroke Patient Self Management Behavior Rating Scale were used to investigate the questionnaire. [Results] The total score of self-management behavior in stroke patients was 168.29±44.01,the total score of family care was 5.47±2.60,and the total score of fear of disease progression was 31.86±13.36,and the total score of chronic disease resource utilization was 68.67±14.53. The self-management behavior of stroke patients was positively correlated with family care(r=0.753,P<0.01),and negatively correlated with fear of disease progression(r=-0.666,P<0.01). It is positively correlated with the utilization of chronic disease resources(r=0.660,P<0.01). The results of multiple linear regression analysis showed that gender,place of residence,residential situation,marital status,educational level,self-care ability,family care level,fear of disease progression,and utilization of chronic disease resources were independent risk factors for self-management behavior in stroke patients(P<0.05). [Conclusion] Under the traditional Chinese medicine constitution,the self-management behavior of stroke patients is at a moderate level. Gender,place of residence,housing situation,marital status,education level,self-care ability,family care level,fear of disease progression,and utilization of chronic disease resources are independent risk factors affecting the self-management behavior of stroke patients. It is suggested that relevant medical workers should strengthen health education and psychological construction for stroke patients,utilize traditional Chinese medicine rehabilitation therapy to intervene in patients,encourage patients to utilize family carefully,correctly understand the disease,attach importance to the key role of positive psychological qualities inpatient rehabilitation,stimulate the intrinsic potential of patients to cope with the disease,promote the utilization of chronic disease resources,weaken the fear of disease progression,and help patients to do well in rehabilitation,thereby promoting their self-management behavior. |
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