摘要
Abstract
Objective To observe the home medical compliance behavior of stroke hemiplegic patients and analyze its influencing factors,in order to provide reference for improving patients'proactive health management behavior.Methods Follow-up was conducted to understand the medical compliance behavior of stroke hemiplegic patients within 6 months after discharge,evaluate and compare the clinical data,functional recovery of paralyzed limbs,life abilities,quality of life,family support,social support,disease uncertainty,and medical coping strategies among patients who complied with medical advice and those who did not.The incidence of complications during the follow-up period was statistically analyzed.Logistic regression analysis was used to identify the influencing factors of medical compliance behavior during the post-discharge home period.Results During the follow-up period,the proportions of 83 patients who complied with medication,regular follow-up visits,rehabilitation training,a balanced diet,and regular daily routines at home after discharge were 93.98%,85.54%,81.93%,77.11%,and 75.90%,respectively.51 cases(61.45%)who complied with all five items were set as compliance group,with only one case each of urinary tract infection and pressure ulcer occurring in this group.The remaining 32 non-adherent cases had two cases of urinary tract infection and four cases of pressure ulcers,and there was a statistically significant difference in the incidence of complications between the two groups(χ2=4.964,P=0.026).Logistic regression analysis showed that the patient's education level,family support and medical home follow-up were the influencing factors of compliance behaviors of patients with stroke hemiplegia during home period after discharge(P<0.05).Conclusions Stroke hemiplegic patients show a high level of compliance with medication,regular follow-up visits,and rehabilitation training during the home period after discharge.Home follow-up and family support can enhance the medical compliance behavior of patients with stroke hemiplegia.关键词
脑卒中/偏瘫/遵医行为/主动管理/影响因素Key words
stroke/hemiplegia/medical compliance behaviors/proactive management/influencing factors分类
医药卫生
