| Objective :This study was aim to investigate the status of internal ability and factors of elderly stroke patients in recovery period,which laid a theoretical formulation of treatment measures for individualized rehabilitation,and provided reference for intervention to reverse and maintain the internal ability of elderly stroke in recovery period.Methods:1.Questionnaire survey methods : From December 2021 to August 2022,a questionnaire survey was conducted on 622 hospitalized elderly stroke in two tertiary hospitals in Xinjiang by convenient sampling method.The questionnaire included general information,internal ability survey tools(including simple mental state assessment scale,simple nutrition assessment scale,simple geriatric depression scale,simple physical fitness test scale,perception ability),social support scale,Chinese revised stroke rehabilitation self-efficacy scale and physiological resilience scale.2.Statistical methods : Eidata3.1 was used to put the questionnaire into computer,and SPSS27.0software was used for statistical analysis.Count data were described by frequency and percentage,and measurement data were described by(X ± S)or M(P25,P75);single factor analysis using t test,χ2 test;pearson correlation coefficient test was used for correlation analysis.The meaningful indicators of univariate and correlation analysis were included in the binary logistic regression equation to explore the factors affecting the internal ability of elderly patients with stroke recovery.Results :1.General information : The age of 622 elderly stroke patients in recovery was(69.53 ± 8.99)years old,including 359 males(57.72 %)and 263 females(42.28 %).the education level of 565(90.84 %)is high school or below.The living conditions were mostly in the form of cohabitation(482 people,77.49 %).495 people(79.58 %)were paid by employee medical insurance.The most patients are the peoples whose family monthly income is 3000-5000 yuan(337 people,54.18 %).There were 477 patients(76.69%)whose grip strength decreased.2.Intrinsic ability score of elderly stroke patients in recovery was(3.11 ± 0.97),including cognitive ability(23.82 ± 6.17),psychological ability(8.62 ± 2.69),nutritional ability(12.30 ± 2.01),exercise ability(8.01 ± 3.91)and perception ability(0.26 ± 0.44).Among the 622 patients,282 had poor internal ability scores whose proportion is 45.34 %,and 340 had better internal ability scores at 54.66%proportion.3.The result of univariate analysis showed that there were significant differences in age,marital status,education level,grip strength value,smoking and drinking,living conditions,caregiver,family monthly income,life satisfaction,stroke type,whether there was dysfunction,number of chronic diseases ≥ 3,number of medications,history of falls,whether pain affected action,BMI,NIHSS,stroke rehabilitation self-efficacy,social support and physiological resilience scores between elderly stroke patients with better internal ability and poor internal ability(all P < 0.01).4.There was a positive correlation between the total score of internal ability and the total score of stroke rehabilitation self-efficacy(r = 0.571、0.122、0.184,P>0.05);There was no correlation between the total score of social support and intrinsic ability(P>0.05).5.The result of Logistic regression analysis showed that age(OR = 1.885,95 % CI = 1.432 ～ 2.482),education level(OR = 0.811,95 % CI = 0.665 ～ 0.988),grip strength decreased(OR = 2.582,95 % CI =1.485 ～ 4.489),The number of chronic diseases ≥ 3(OR = 1.333,95 % CI = 1.097-1.620),BMI(OR =0.769,95 % CI = 0.593-0.998)and stroke rehabilitation self-efficacy(OR = 0.933,95 % CI = 0.919-0.948)were the main factors affecting the internal ability(P < 0.05).Six variables entered the model : ROC curve analysis showed that the above six variables had a good predictive ability for the internal ability of elderly patients with stroke recovery(AUC = 0.846,P < 0.001).Conclusion :1.In this study,the internal ability of elderly stroke patients in recovery was at a poor level.2.The correlation analysis between internal ability score(0-5 points)and other indicators showed that the higher the scores of rehabilitation self-efficacy,physiological resilience and social supportsubjective support,the better the internal ability of elderly stroke patients in recovery.3.The educational level,BMI and stroke rehabilitation self-efficacy are the protective factors for the internal ability of elderly stroke patients in recovery,and age,grip strength and the number of chronic diseases ≥ 3 are risk factors for the internal ability of elderly stroke patients in recovery. |
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