脑卒中患者中的健康信念集群:使用隐形形状分析进行量身定制干预的见解
Mengyu Zhang1, Xiaoyu Lei2, Gege Zhang2
1Surgical Intensive Care Unit, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, People's Republic of China.
Patient preference and adherence
|November 20, 2025
概括
脑卒中患者表现出不同的健康信念概况,分为三个群体:缺席的信念,自我不足和更高的感知行为障碍. 了解这些健康信念模式对于量身定制的患者指导至关重要.
科学领域:
- 健康心理学 心理健康心理学
- 临床神经学 临床神经学
- 生物统计学 生物统计学
背景情况:
- 健康信念显著影响患者的治疗结果和对中风后治疗的坚持.
- 了解中风幸存者对健康信仰的异质性对于开发有效干预措施至关重要.
- 以前的研究还没有完全阐明中风患者群体中健康信仰的不同概况.
研究的目的:
- 在中风患者中识别健康信仰的潜在概况.
- 分析不同类型中风患者健康信仰的差异.
- 为中风幸存者制定有针对性的健康教育策略提供信息.
主要方法:
- 通过分层集群随机抽样方法,在中国河南省招募了1358名中风患者.
- 数据采集使用验证的问卷,包括简单形式的健康信念模型尺度.
- 隐性个人资料分析 (Mplus 8.3) 确定了健康信仰集群;使用SPSS 26.0.0分析了群体差异.
主要成果:
- 支持了三类健康信念模型,确定了不同的集群:缺席信念,自我缺陷和更高的感知行为障碍.
- 在三个集群中观察到短形式健康信念模型尺度得分的显著差异.
- 关键的人口和临床因素,包括修改的兰金尺度,健康行为,健康知识,教育和高血压,显示出与健康信仰概况的显著关联.
结论:
- 在中风患者中,健康信仰的个体异质性是显著的,可以分为三个不同的配置文件.
- 这些发现为开发定制的健康信念干预和对中风患者的指导提供了基础.
- 这项研究为未来的临床研究提供了在慢性疾病人群中对健康信仰的方法论见解.
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