中国康复2024，Vol.39Issue(7)：401-405,5.DOI:10.3870/zgkf.2024.07.004
疾病感知和服药信念在脑卒中患者自我效能和康复依从性中的作用分析
Role of disease perception and treatment confidence in the compliance of self-efficacy rehabilitation of stroke patients
摘要
Abstract
Objective:To analyze the role of disease perception and medication belief in self-efficacy and rehabilita-tion compliance of stroke patients.Methods:Totally,321 stroke patients admitted to our hospital from May 2022 to April 2023 served as the research objects.The general information questionnaire and the functional exercise compli-ance scale for stroke(SFEAS),beliefs about medical questionnaire(BMQ),disease perception questionnaire(B-IPQ)and self-efficacy scale(SSEQ)were used to analyze the relationship between disease perception,medication belief,self-efficacy and rehabilitation compliance.Results:In total,21 invalid questionnaires were excluded,and 300 valid questionnaires were finally obtained.The scores of B-IPQ scale,BMQ scale,SFEAS scale and SSEQ scale were(45.33±8.31),(30.10±3.32),(34.89±8.90)and(74.09±11.80),respectively,and the total scores of each scale and each dimension were at the lower-middle level.There was no significant difference in the scores of B-IPQ,BMQ,SFEAS and SSEQ among patients with different gender,age,body mass index,education background and residence.Pearson correlation analysis showed that disease perception was negatively correlated with medication belief,self-efficacy and rehabilitation compliance(r=-0.754,-0.741,-0.785;P＜0.001).There was a positive correlation between medication belief and self-efficacy(r=0.864;P＜0.001);There was a positive correlation be-tween medication belief and rehabilitation compliance(r=0.780;P＜0.001).There was a positive correlation be-tween self-efficacy and rehabilitation compliance(r=0.753;P＜0.001).The mediating effect of self-perception and medication belief between self-efficacy and rehabilitation compliance of stroke patients showed that the path coeffi-cient of self-efficacy to rehabilitation compliance was 0.409,and self-efficacy had a partial indirect effect on rehabili-tation compliance through mediating variables of disease perception and belief intaking medicine.Conclusion:The oc-currence of stroke can affect patients'disease percep-tion,medication belief,self-efficacy and rehabilitation compliance,and disease perception and medication be-lief can affect patients'self-efficacy and rehabilitation compliance.关键词
脑卒中/疾病感知/服药信念/自我效能/康复依从性/中介效应Key words
stroke/disease perception/belief in tak-ing medicine/self-efficacy/rehabilitation compliance/mediating effect分类
医药卫生引用本文复制引用
齐晶晶,刘腊梅,李文婷,刘延锦..疾病感知和服药信念在脑卒中患者自我效能和康复依从性中的作用分析[J].中国康复,2024,39(7):401-405,5.基金项目
国家自然科学基金(72274179) （72274179）
