A study on the variation curve of self-management level in patients with first onset stroke
10.3760/cma.j.issn.1674-2907.2019.21.009
- VernacularTitle:首发脑卒中患者自我管理水平变异曲线规律分析
- Author:
Xiaoxue TAN
1
;
Min XU
Author Information
1. 浙江中医药大学附属第一医院急救创伤中心
- Keywords:
Stroke;
Self-management level;
Influencing factor;
Variation curve
- From:
Chinese Journal of Modern Nursing
2019;25(21):2679-2683
- CountryChina
- Language:Chinese
-
Abstract:
[Abstract]? Objective? To explore the change rule of self-management level of first-episode stroke patients by analyzing the influencing factors of stroke patients' self-management level and drawing the variation curve. Methods? From December 2016 to April 2017, 88 first onset stroke patients in 2 ClassⅢ Grade A hospitals in Hangzhou, Zhejiang Province were selected as the subjects. Self-management scores were measured every two weeks from admission to the 32nd week. The factors influencing self-management score were analyzed by the multiple regression analysis and multivariate regression analysis. The variance curve of self-management was applied to curve fitting of data by MATLAB 2015 software. Results? During the 24 weeks' observation, the average score of self-management in stroke patients was(66.30±10.98) scores. The self-management score hit its peak at the 10th week (70.35±10.65) scores and the lowest level at admission (57.60±14.29) scores. The results of single factor analysis showed that the total self-management scores of stroke patients were statistically different between the stroke patients with different ages, education levels, medical payment methods (P＜0.05); multiple regression analysis showed that the main factors affecting the self-management level was medical payment methods. Polynomial model was applied to get the variation curve of self-management level. Conclusions? The self-management level in stroke patients changes dynamically with time demonstrating a parabolic-like curve,which may be related to the onset time of stroke and timeliness of interventions. In the decline period of self-management level, timely repeated nursing intervention is conducive to maintain a high level of self-management level and promote patients' rehabilitation.
