Abstract:

Objective To investigate the current status of health behavioral decision-making in ischemic stroke patients and analyze its influencing factors. Methods Totally 250 ischemic stroke patients were selected from 2 hospitals in Zhengzhou and Anyang from February to May 2023. A general information questionnaire，Behavioral Decision-Making Scale for Stroke Patients，Recurrence Risk Perception Scale for Patients with Stroke，and Stroke Self-Efficacy Questionnaire were used to conduct the questionnaire survey. Results The Behavioral Decision-Making Scale for Stroke Patients score of 229 ischemic stroke patients was （117.83±7.15） scores. The results of multiple linear regression analysis showed that occupational status，glycemic compliance，primary caregiver，current symptoms，stroke self-efficacy，and recurrence risk perception were the influencing factors of health behavioral decision making in ischemic stroke patients（P<0.05）. Conclusion The health behavioral decision making of ischemic stroke patients is at an upper-middle level. Individualized interventions can be carried out for patients with different characteristics to promote the patients’ ability to behavior decision making and the formation of preventive behaviors.

Key words: Ischemic Stroke, Health Behavior, Decision Making, Risk Perception, Nursing Care

摘要：

目的 调查缺血性脑卒中患者健康行为决策现况并分析其影响因素。 方法 2023年2月—5月，选取郑州市和安阳市某2所医院250例缺血性脑卒中患者作为调查对象。采用一般资料调查表、脑卒中患者行为决策评估量表、脑卒中患者复发风险感知评估量表、脑卒中康复自我效能量表进行问卷调查，采用多元线性回归分析缺血性脑卒中患者健康行为决策的影响因素。 结果 229例缺血性脑卒中患者行为决策评估量表得分为（117.83±7.15）分。多元线性回归分析结果表明，职业状况、血糖达标、主要照顾者、目前症状数、康复自我效能及复发风险感知是缺血性脑卒中患者健康行为决策的影响因素（P<0.05）。 结论 缺血性脑卒中患者健康行为决策处于中等偏上水平，可针对不同特征患者进行个体化干预，促进患者健康行为决策水平的提升和健康行为的形成。

关键词: 缺血性脑卒中, 健康行为, 决策, 风险感知, 护理