颅内未破裂动脉瘤患者知觉压力和家庭功能现状及其对健康行为的影响
郝俊丽1） 张 静1） 张晓娜2） 韩智培2）
1）郑州大学附属肿瘤医院/河南省肿瘤医院，河南 郑州 450008 2）河南省人民医院，河南 郑州 450003
通信作者：韩智培
【摘要】 目的 调查颅内未破裂动脉瘤（UIA）患者知觉压力、家庭功能现状并探讨其对健康行为的影响。方法 使用中文版知觉压力量表、家庭关怀度指数问卷、健康促进生活方式量表Ⅱ问卷对河南省某三级甲等医院 2019-11—2022-04 在神经外科门诊、病区就诊或住院的 UIA 患者进行问卷调查。结果 UIA患者中文版知觉压力量表得分为（30.21±6.115）分，家庭关怀度指数问卷得分为（5.17±2.826）分，健康促进生活方式量表Ⅱ得分为（124.48±32.451）分；UIA 患者知觉压力与健康行为呈负相关（r=-0.647，P<0.01），家庭功能与健康行为呈正相关（r=0.377，P<0.01）；分层回归结果显示，知觉压力、家庭功能独立解释 UIA 患者健康行为变异的 13.8％。结论 UIA 患者知觉压力水平较高，家庭功能处于中度障碍水平，健康行为处于一般水平，知觉压力、家庭功能是健康行为的重要影响因素。医护人员可通过针对性措施减轻UIA患者知觉压力，帮助其家庭功能的提升，从而改善UIA患者健康行为。
【关键词】 颅内动脉瘤；未破裂动脉瘤；健康行为；知觉压力
【中图分类号】 R473.74 【文献标识码】 A 【文章编号】 1673-5110 （2022） 07-0874-06
基金项目：河南科技智库调研课题（编号：HNKJZK-2022-70B）
DOI：10.12083/SYSJ.220666
Perceived stress，family function and their effects on health behavior in UIA patients
HAO Junli1） ，ZHANG Jing1） ，ZHANG Xiaona2） ，HAN Zhipei2）
1）Affiliated Cancer Hospital of Zhengzhou University/Henan Cancer Hospital，Zhengzhou 450008，China；
2）Henan Provincial People’s Hospital，Zhengzhou 450003，China
Corresponding author：HAN Zhipei
【Abstract】 Objective To investigate the perceptual pressure and family function status of UIA patients，and to explore its influence on health-promoting lifestyle.Methods UIA patients in neurosurgery clinics，wards or inpatients of a class Ⅲ class a hospital in Henan Province from November 2019 to April 2022 were investigated by using the Chinese version of perceived stress scale，family care index questionnaire and Health Promotion Lifestyle Scale Ⅱ questionnaire.Results The score of the Chinese version of the Perceptual Stress Scale for UIA patients was（30.21±6.115），the score of the Family Care Index Questionnaire was（5.17±2.826），and the Health Promotion Lifestyle Scale Ⅱ score was（124.48±32.451）; UIA patients Perceived pressure is negatively correlated with healthy behavior（r=-0.647，P<0.01），and family function is positively correlated with healthy behavior（r=0.377，P<0.01）; the hierarchical regression results show that perceptual pressure and family function independently explain UIA 13.8% of patients’ health behavior variation. Conclusion UIA patients have a high level of perceived stress，family function is at a moderately impaired level，and healthy behavior is at a general level. Perceived pressure and family function are important factors affecting healthy behavior. Medical staff can reduce the perceptual pressure of UIA patients through targeted measures，help their family functions improve，and improve the health behavior of UIA patients.
【Key words】 Intracranial aneurysms；Unruptured aneurysms；Health behavior；Perceived stress
