摘要
目的分析≥60岁老年高血压患者自我管理行为现状及其相关因素,为制定提高高血压管理行为能力措施提供依据。方法以2019年7—11月阜新市某医院登记在册的所有确诊为高血压的≥60岁患者为研究对象进行问卷调查,调查内容包括基本情况、慢性病自我管理研究测量表、高血压治疗依从性评价量表(TASHP)、中文版高血压健康素养量表(C-HBP-HLS),采用描述流行病学分析方法进行分析,并采用单、多因素分析方法对高血压自我管理行为得分进行分析。结果共纳入416例老年高血压患者,平均年龄(65.28±2.04)岁,以60~70岁为主,占47.60%,男性占50.72%,女性占49.28%,病程以1~5年为主,占66.11%。自我管理行为总分为(42.68±5.22)分,处于较低水平。多元线性回归分析结果显示,文化程度(标准化偏回归系数:0.657)、人均可支配收入(标准化偏回归系数:0.682)、TASHP评分(标准化偏回归系数:0.749)、C-HBP-HLS评分(标准化偏回归系数:0.672)越高,自我管理行为得分越高。结论该地区老年高血压患者自我管理行为能力较差,健康素养、治疗依从性、文化程度、人均可支配收入是老年高血压患者自我管理行为的影响因素,早期采用有效干预知信行模式护理干预,对改善老年高血压患者自我管理行为具有一定价值。
Objective To analyze the status and influencing factors of self-management behavior in patients aged over 60 years old with hypertension,so as to provide basis for formulating measures to improve the ability of hypertension management behavior.Methods A questionnaire survey was conducted among all patients aged over 60 years old who were diagnosed with hypertension in a hospital of Fuxin City from July to November 2019.The survey contents included basic information,Chronic Disease Self-Management Study Measures,Therapeutic Adherence Scale Hypertensive Patients(TASHP),and High Blood Pressure-Health Literacy Scale into Chinese(C-HBP-HLS).Descriptive epidemiological method was used for analysis,and univariate and multivariate logistic regressions were used to analyze the influencing factors of hypertension self-management behavior score.Results A total of 416 elderly patients with hypertension were enrolled,with an average age of(65.28±2.04)years old,and 60-70 years old patients accounted for 47.60%,males accounted for 50.72%,females accounted for 49.28%.The patients with course of disease 1-5 years accounted for 66.11%.The total score of self-management behavior was(42.68±5.22),which was at a low level.Multiple linear regression analysis showed that the higher the education level(standardized partial regression coefficient:0.657),per capita disposable income(standardized partial regression coefficient:0.682),TASHP score(standardized partial regression coefficient:0.749),C-HBP-HLS score(standardized partial regression coefficient:0.672),the higher the score of self-management behavior.Conclusion The elderly patients with hypertension in this area have poor self-management behavior,and health literacy,treatment compliance,education level and per capita disposable income are the influencing factors.Early effective intervention is of great significance to improve it.
作者
裴迎营
蔡雪
王学东
PEI Ying-ying;CAI Xue;WANG Xue-dong(Fuxin Mining General Hospital,Liaoning Health Industry Group,Fuxin 123000,China)
出处
《华南预防医学》
2020年第5期486-489,共4页
South China Journal of Preventive Medicine
关键词
高血压
自我管理
健康素养
影响因素
护理干预
Hypertension
Self-management
Health literacy
Influencing factor
Nursing intervention
