作者：王燕1 ，于海龙2 ，李晓波2 ，刘佩佩2 ，殷灯明3

单位：

1.225001江苏省扬州市，江苏省苏北人民医院康复医学科　2.225001江苏省扬州市，江苏省苏北人民医院 神经内科　3.225001 江苏省扬州市，江苏省苏北人民医院妇产科

Units：

1.Department of Rehabilitation Medicine, Northern Jiangsu People's Hospital of Jiangsu Province, Yangzhou 225001, China 2.Department of Neurology, Northern Jiangsu People's Hospital of Jiangsu Province, Yangzhou 225001, China 3.Department of Obstetrics and Gynecology, Northern Jiangsu People's Hospital of Jiangsu Province, Yangzhou 225001, China

关键词：

卒中；偏瘫；康复护理；影响因素分析；Apriori关联规则算法

Keywords：

Stroke; Hemiplegia; Rehabilitation nursing; Root cause analysis; Apriori association rule algorithm

CLC：

R 743

DOI：

10.12114/j.issn.1008-5971.2024.00.088

Funds：

江苏省科技项目（BK20221280）

摘要：

　目的　探讨脑卒中后偏瘫患者居家康复护理需求的影响因素及各维度关联性。方法　选取2022年2 月—2023年5月江苏省苏北人民医院收治的脑卒中后偏瘫患者为调查对象，采用一般资料调查量表、《社区脑卒中 患者护理需求调查问卷》调查患者的一般资料及居家康复护理需求。采用多因素Logistic回归分析探讨脑卒中后偏 瘫患者居家康复护理需求的影响因素；居家康复护理需求各维度的关联性分析采用Apriori关联规则算法。结果　本 研究共发放调查问卷120份，回收有效问卷115份，有效回收率为95.8%。115例脑卒中后偏瘫患者居家康复护理需求 总分为（107.5±23.5）分，其中生活护理需求维度得分为（12.2±3.1）分、健康教育需求维度得分为（20.1±4.2） 分、康复指导需求维度得分为（28.0±4.1）分、心理护理需求维度得分为（9.1±2.1）分、专业护理需求维度得分为 （5.1±2.0）分、并发症护理需求维度得分为（6.8±1.8）分、自护能力需求维度得分为（13.2±3.3 ）分、社会支持需 求维度得分为（12.9±2.7）分。以居家康复护理需求总分中位数为界，将患者划分为低需求组（ n =62 ，＜106分）、高 需求组（n=53，≥106分）。两组年龄、文化程度、个人平均月收入及自理情况比较，差异有统计学意义（P＜0.05）。 多因素Logistic回归分析结果显示，年龄、文化程度、个人平均月收入是脑卒中后偏瘫患者居家康复护理需求的影响因 素（P＜0.05）。Apriori关联规则算法结果显示，以康复指导需求为后项，健康教育需求为前项，两项组合出现39次、 支持度为24.1%、置信度为88.1%、提升度为1.956。结论　脑卒中后偏瘫患者居家康复护理需求处于中高等水平，年 龄、文化程度、个人平均月收入是其影响因素；患者存在不同居家康复护理需求，且各需求之间相互促进。

Abstract：

Objective To explore the influencing factors of needs of home rehabilitation nursing in patients with hemiplegia after stroke and relevance of various dimensions. Methods Hemiplegia after stroke patients admitted to Northern Jiangsu People's Hospital of Jiangsu Province from February 2022 to May 2023 were selected as the repondents. The General Information Survey Scale and the Community Stroke Patients Care Needs Questionnaire were used to investigate the general information and needs of home rehabilitation nursing of patients. Multivariate Logistic regression analysis was used to explore the influencing factors of needs of home rehabilitation nursing in patients with hemiplegia after stroke. Apriori association rule algorithm was used to explore the relevance of the various dimensions of needs of home rehabilitation nursing. Results A total of 120 questionnaires were distributed in this study, and 115 valid questionnaires were recovered, effective respondent rate was 95.8%. The total score of needs of home rehabilitation nursing of 115 patients with hemiplegia after stroke was (107.5±23.5) , in which the score of life nursing demand dimension was (12.2±3.1) , the score of health education demand dimension was (20.1±4.2) , the score of rehabilitation guidance demand dimension was (28.0±4.1) , and the score of psychological nursing demand dimension was (9.1±2.1) , the score of professional nursing demand dimension was (5.1±2.0) , the score of complication nursing demand dimension was (6.8±1.8) , the score of self-care ability demand dimension was (13.2± 3.3) and the score of social support demand dimension was (12.9 ±2.7) . The patients were divided into low demand group ( n= 62, < 106) and high demand group ( n=53, ≥ 106) based on the median total score for needs of home rehabilitation nursing. There was statistically significant differences in age, education level, personal average monthly income and self-care between the two groups (P < 0.05) . Multivariate Logistic regression analysis showed that age, education level, personal average monthly income were the influencing factors of needs of home rehabilitation nursing in patients with hemiplegia after stroke (P < 0.05) . The results of Apriori association rule algorithm showed that with rehabilitation guidance demand as the latter item, and the health education demand as the former item, the combination of the two items appeared 39 times, with a support rate of 24.1 %, a confidence rate of 88.1% and an improvement rate of 1.956. Conclusion The needs of home rehabilitation nursing for patients with hemiplegia after stroke is at a medium to high level, and age, education level, personal average monthly income are its influencing factors. Patients have different needs of home rehabilitation nursing, which promote each other.

ReferenceList：