【摘要】 目的 调查脑卒中患者出院后社会融合现状及其影响因素，探讨脑卒中患者出院后健康素养、健康行为及社会融合的相互关系。方法 2024-02—10通过便利抽样法选取上海市某郊区203例出院脑卒中患者为研究对象，采用一般资料调查表、慢性病患者健康素养量表（CHeLMS）、脑卒中患者健康行为量表（HBS-SP）和中文版重返正常生活指数量表（RNLI）进行问卷调查，使用Process程序中的Model 4模型开展中介效应分析。结果 脑卒中患者出院后社会融合得分（77.83±11.31）分，处于中度限制水平；健康素养量表总分（97.09±14.33）分，健康行为量表总分（74.43±9.98）分。社会融合主要受肢体功能状况、病程、年龄、交流互动能力和改善健康意愿等因素的影响（P<0.05）。健康素养、健康行为与社会融合三者间呈两两相关（r=0.623、0.508,P<0.01）。健康行为在健康素养和社会融合间起部分中介作用，中介效应值0.134，中介效应占比31.38%。结论 脑卒中患者出院后社会融合程度总体不高，可通过提高患者的健康素养与健康行为水平以促进社会融合，改善生活质量。更多还原

【Abstract】 Objective To investigate the status and influencing factors of social integration of stroke patients after discharge,and explore the correlations among health literacy,health behavior and social integration of stroke patients after discharge.MethodsFrom February 2024 to October 2024, 203 stroke patients discharged from a suburb of Shanghai were selected as the research objects by convenience sampling method. The general information questionnaire,chronic disease health literacy management scale(CHeLMS),health behavior scale for stroke patients(HBS-SP) and return-to-normal life index(RNLI) were used to conduct the questionnaire survey,and the mediating effect was analyzed by Model 4 in Process program.ResultsThe score of social integration of stroke patients after discharge was(77.83 ± 11.31) points,which was at a moderate restrictive level. The total score of health literacy scale was(97.09 ± 14.33) points. The total score of health behavior scale was(74.43 ± 9.98) points. Social integration was mainly affected by limb function,course of disease, age, communication and interaction ability, and willingness to improve health(P<0.05). Health literacy,health behavior and social integration were pairwise correlated(r=0.623,0.508,P<0.01). Health behavior played a partial mediating role between health literacy and social integration,and the mediating effect value was 0.134,accounting for 31.38% of the mediating effect.ConclusionThe degree of social integration of stroke patients after discharge is not high in general. It is necessary to improve the health literacy and health behavior level to promote social integration and improve the quality of life.更多还原