【摘要】 目的 分析知识-态度-社会支持联动因素对脑卒中偏瘫患者自我管理行为的影响，为脑卒中偏瘫患者康复护理干预提供依据。方法 选择116例脑卒中偏瘫患者为研究对象，运用脑卒中自我管理行为量表(SMBS)、社会支持量表(SSRS)、脑卒中知识和态度量表(SKAQ),以问卷方式进行横断面调查、评估，通过单因素和多元线性回归分析知识-态度-社会支持联动因素对脑卒中偏瘫患者自我管理行为的影响。结果 脑卒中偏瘫患者自我管理水平总体平均分为(12.95±3.24)分，处于较低水平。各维度分值排序从低到高依次为：疾病监测、情绪管理、康复锻炼、遵医用药饮食管理、生活起居。患者的自我管理水平与社会支持情况、脑卒中态度、知识等因素均呈正相关，相关系数r值分别为0.731、0.523和0.499,均P<0.01。多元线性回归分析显示脑卒中知识、居住地、脑卒中态度、家庭人均月收入、社会支持情况、文化程度为患者自我管理的影响因素，相关系数R~2值为0.794(P<0.001),标准回归系数显示各因素影响程度按顺序依次由小到大(P<0.05)。结论 脑卒中偏瘫患者自我管理能力亟须提高，今后需要对文化程度低、脑卒中知识态度水平差和社会支持水平不高的患者进行强化干预，以提升患者自我管理的水平。更多还原

【Abstract】 Objective To analyze the influence of knowledge, attitude, and social support interactive factors on the current status of self-management behavior in post-stroke hemiplegic patients, and to provide a basis for formulating rehabilitation nursing interventions for this population.Methods A total of 116 post-stroke hemiplegic patients were enrolled as subjects.A cross-sectional survey and assessment were conducted using the Stroke Self-Management Behavior Scale(SMBS),Social Support Rating Scale(SSRS),and Stroke Knowledge and Attitude Questionnaire(SKAQ).Univariate and multiple linear regression analyses were applied to explore the effects of knowledge, attitude, and social support interactive factors on the status of self-management behavior in these patients.Results The overall average score of self-management ability in post-stroke hemiplegic patients was 12.95±3.24,which was at a medium-to-low level.The dimensions, ranked from low to high, were: disease surveillance, emotional management, rehabilitation exercise management, adhere to medical advice and medication, dietary management, and daily life management.The self-management level was positively correlated with social support, stroke attitude, and stroke knowledge, with correlation coefficients of r=0.731,0.523,and 0.499,respectively(all P<0.01).Multiple linear regression analysis showed that stroke knowledge, place of residence, stroke attitude, family monthly per capita income, social support, and educational level were all influencing factors of self-management in middle-aged and elderly post-stroke hemiplegic patients, with R~2=0.794(P<0.001).The standardized regression coefficients indicated the order of influence degree in ascending order(all P<0.05).Conclusion The self-management ability of post-stroke hemiplegic patients needs to be improved.In the future, intensive interventions should be implemented for patients with low educational levels, poor stroke knowledge and attitude, and insufficient social support, so as to enhance their self-management ability.更多还原