关键词: 脑卒中, 行为决策, 心理弹性, 家庭功能

Abstract: Objective: To investigate the current situation of behavioral decision-making level , and analyze it′s influencing factors in patients with first-espisode stroke. Methods: Participants were recruited from patients with first-episode stroke admitted to Ji ′an First People′s Hospital from May 2022 to May 2023 by convenience sampling. The General Information Questionnaire, Behavioral Decision-making Scale (BDMS), Connor-Davidson Resilience Scale (CD-RISC) and Family Adaptability and Cohesion Evaluation Scale(FACESⅡ-CV) were used to evaluate the particiapants. Pearson correlation analysis was used to analyze the correlation between the scores of BDMS, CD-RISC, and FACESⅡ-CV. Multivariate linear regression was used to analyze the influencing factors of behavioral decision -making level. Results: The mean scores of BDMS, CD-RISC, and FACESⅡ-CV were(94.83±10.58) points, (59.10±10.81) points, and (115.03±14.89) points in 194 patients, respectively. Univariate analysis showed that the scores of BDMS were significantly different in the stratified comparison of gender, education level, marital status and family history of stroke(all P<0.05). Pearson correlation analysis showed that the scores of each dimension and total score of BDMS were positively correlated with the scores of CD-RISC and FACESⅡ-CV (all P<0.05). Multivariate linear regression analysis showed that female, education level, family history of stroke, CD-RISC score, FACESⅡ-CV score affected the behavioral decision-making level of patients with first-episode stroke (all P<0.05). Conclusion: The behavioral decision-making level of patients with first-episode stroke needs to be improved. Gender, education level, family history of stroke, psychological resilience and family function were its influencing factors. Targeted intervention programs in clinical should be formulated to promote the level of behavioral decision-making.

Key words: Stroke, Behavioral decision-making, Psychological resilience, Family function