老年脑卒中病人应对方式与自我效能、健康行为的相关性分析

    Correlation analysis of coping style, self-efficacy and health behavior in elderly stroke patients

    • 摘要:
      目的探究老年脑卒中病人应对方式与自我效能、健康行为间的相关性。
      方法选择120例老年脑卒中病人作为研究对象,发放一般资料调查表、医学应对方式量表(MCMQ)、一般自我效能量表(GSES)和脑卒中健康行为量表(HBS-SP)完成问卷调查,收集问卷后对比与全国常模之间的得分差异;对老年脑卒中病人的应对方式、自我效能、健康行为进行相关性分析。
      结果老年脑卒中病人应对方式总分为(41.49±4.73)分,其中面对维度评分均低于全国常模(P < 0.01),回避维度高于全国常模(P < 0.01)。老年脑卒中病人自我效能平均(25.93±3.35)分,近80%的病人自我效能处于中低等水平。老年脑卒中病人的面对维度与自我效能之间呈正相关关系(P < 0.01),回避维度和屈服维度与自我效能之间呈负相关关系(P < 0.05和P < 0.01)。老年脑卒中病人自我效能与健康行为总分及各维度之间均呈正相关关系(P < 0.05~P < 0.01);老年脑卒中病人面对维度与健康行为及各维度得分呈正相关关系(P < 0.05~P < 0.01),回避与屈服与健康行为总分及各维度得分呈负相关关系(P < 0.05)。
      结论老年脑卒中病人的自我效能、应对方式、健康行为之间存在明显关联,积极的应对方式、较高的自我效能是老年脑卒中病人健康行为的积极促进因素,自我效能较高者更倾向于采取面对的应对方式。

       

      Abstract:
      ObjectiveTo explore the relationship between coping style, self-efficacy and health style in elderly stroke patients.
      MethodsA total of 120 elderly stroke patients were selected as the research objects.General information questionnaire, medical coping style scale (MCMQ), general self-efficacy scale (GSES) and stroke health behavior scale (HBS-SP) were distributed to complete the questionnaire survey.Pearson correlation was used to analyze the coping style, self-efficacy and health style of elderly stroke patients.
      ResultsThe total score of coping style of the elderly stroke patients was(41.49±4.73) point.The scores of facing dimensions were lower than the national norm (P < 0.01), and the avoidance dimension was higher than the national norm (P < 0.01).The average self-efficacy of the elderly stroke patients was (25.93±3.35) points, and nearly 80% of the patients′ self-efficacy was in the middle and low level.There was a positive correlation between the facing dimension and self-efficacy in elderly stroke patients (P < 0.01), and a negative correlation between avoidance dimension and yielding dimension and self-efficacy (P < 0.05 and P < 0.01).There was a positive correlation between the self-efficacy and the total score of health behavior and each dimension in elderly stroke patients (P < 0.05 to P < 0.01).The facing dimension of the elderly stroke patients was positively correlated with the health behavior and the scores of each dimension (P < 0.05 to P < 0.01), and avoidance and submission were negatively correlated with the total score of health behavior and the scores of each dimension (P < 0.05).
      ConclusionsThere is a significant correlation among the self-efficacy, coping style and health behavior of elderly stroke patients.Positive coping style and higher self-efficacy are the positive promoting factors of health behavior of elderly stroke patients, and those with higher self-efficacy are more likely to adopt the coping style.

       

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