老年脑卒中病人积极度的影响因素及路径分析

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Influencing factors and pathways analysis of activation in elderly stroke patients DENG Man12，YU Weihua²，ZHANG Shiqing³，YANG Xia'，ZHANG Yuxi'，FENG Huan2，XU Fangfang² 1.School of Nursing，Anhui Medical University，Anhui 230601 China;2.The Third Afiliated Hospitalof Anhui Medical University（The First People's Hospital of Hefei）;3.Bengbu Medical University *Corresponding Author YU Weihua，E-mail： ywh-zr@ tom.com

AbstractObjective：Basedonthetheoryofindividualandfamilyself-management，toconstructastructuralequationmodelofthe influencingfactosofctivatioiderlystrokepatints.Toprovideefereeforforulatinginteretioplanstoehanceteactiatio levelofpatients.Methods：Byusingtheconveniencesamplingmethod，atotalof565elderlystrokepatientshowereospitalizedin tertiarygradeAhospitalsinHefeicityfromJanuarytoJune224wereselectedastheresearchsubjects.Theinvestigationwasconducted byusingthegeneralinformationquestionnaire，ConsumerHealthActivationIndex（CHAI），StrokePatients'SymptomExperienceScale （Stroke-SES），HerthHopeIdex（HHI），MedicalCoping ModesQuestioaire（MCMQ）andSocialSupportRatingScale（SSR）.Results： The CHAI score of elderly stroke patients was （59.14±24.14） points.The symptom burden，avoidance coping style and submission coping style of elderly stroke patients were negatively correlated with the patients' activation（all P<0.05 ）.The hope level，confrontation coping style，social support were positively correlated with the patient activation（all P<0.05 ）.The results of the mediating effect showed thatsymptomburdenhadaidirectefectonactivatinthroughhope，confrontationcopingstyle，submisionopingstylendocial support，accounting for 61.46% of the total effect.Conclusions：The activation in elderly stroke patients were at a relatively low level. Medicalstaffsouldpromptlyaessthesymptomburdenofpatients，educeegativecopingtendencies，ehancetheircofidencein coping withthedisease，guidepatientstocorrctlyperceivesocialsupport，ndtherebyimprovethepositivityofselfmanagement.

Keywordselderly people; stroke; activation; symptom burden; influencing factors; nursing

摘要目的：基于个人和家庭自我管理理论，构建老年脑卒中病人积极度影响因素的结构方程模型，为制定提升病人积极度的干预方案提供参考。（剩余13569字）