摘要
目的调查缺血性脑卒中患者二级预防现状并探讨其影响因素。方法以2022年1—7月新乡医学院第一附属医院明确诊断为缺血性脑卒中且均有医嘱要求及处方服用二级预防药物患者为研究对象进行二级预防现状的问卷调查,采用描述性分析方法对该人群二级预防现状,并采用单、多因素分析方法对二级预防影响因素进行分析。结果共1283例缺血性脑卒中患者纳入研究,男性716例,女性567例,年龄43~79岁,病程1~5年所占比例较高,占67.97%,二级预防依从性为23.77%。多因素Logistic回归分析结果显示文化程度(OR=1.198)、居住方式(配偶/子女同住OR=1.317)、其他基础疾病(OR=1.960)、个人健康素养(OR=2.841)、社会支持(OR=2.212)是缺血性脑卒中患者二级预防依从性的影响因素。结论缺血性脑卒中患者二级预防依从性有待提高,根据其影响因素需要关注文化程度低、独居、合并其他基础疾病的患者,采取针对性措施提高其个人健康素养、社会支持度,促进二级预防依从性提高,以利于控制疾病发展,减少复发。
Objective To investigate the status and influencing factors of secondary prevention in patients with ischemic stroke.Methods Patients diagnosed with ischemic stroke between January and July 2022 at the First Affiliated Hospital of Xinxiang Medical College,all of whom had a doctor's order and prescription for secondary prevention drugs,were selected for a questionnaire survey on status of secondary prevention.Descriptive analysis method was used to analyze the status of secondary prevention in this population,and univariate and multivariate analysis methods were used to analyze the influencing factors of secondary prevention.Results A total of 1283 patients with ischemic stroke were included in the study,including 716 males and 567 females,aged 43-79.The proportion of patients with a course of disease of 1-5 years was high,accounting for 67.97%.The compliance of secondary prevention was 23.77%.Multivariate Logistic regression analysis suggested that education level(OR=1.198),living style(spouse/child living together OR=1.317),other basic diseases(OR=1.960),personal health literacy(OR=2.841),and social support(OR=2.212)were influencing factors for secondary prevention compliance in patients with ischemic stroke.Conclusions The compliance of secondary prevention in patients with ischemic stroke needs to be improved.Depending on the influencing factors,attention should be paid to patients with low education,living alone,and complicated by other basic diseases.Targeted measures should be taken to improve their personal health literacy and social support,and promote improved secondary prevention compliance to facilitate the control of disease development and reduce recurrences.
作者
闫志新
苏慧敏
靳志利
张平
YAN Zhi-xin;SU Hui-min;JIN Zhi-li;ZHANG Ping(The First Affiliated Hospital of Xinxiang Medical College,Weihui 453100,China)
出处
《华南预防医学》
2023年第2期170-173,共4页
South China Journal of Preventive Medicine
基金
河南省卫健委省部共建项目(SB201901061)
关键词
缺血性脑卒中
二级预防
依从性
影响因素
Ischemic stroke
Secondary prevention
Compliance
Influencing factor
