摘要
目的探讨老年慢性病共病患者健康赋权水平与其自我忽视间的相关性,为该类患者临床干预策略的制定提供科学依据。方法方便选取南阳市某三甲医院2021年1月至2022年12月收治的157例慢性病共病患者为调查对象,应用健康赋权量表(HES)和老年人自我忽视问卷(ESNQ)评估其健康赋权与自我忽视水平,采用双变量Pearson直线相关检验健康赋权与自我忽视的相关性。结果157例慢性病共病患者平均健康赋权量表总分为(85.95±12.29)分,其中增长知识维度条目均分最高(3.96±1.13)分,其次为责任信念维度(3.79±1.23)分,参与治疗维度条目均分最低(2.76±0.97)分;平均自我忽视总分为(7.67±1.85)分,其中医疗保健维度条目均分最高(0.48±0.12)分,其次为居住环境维度(0.31±0.09)分,社会交往维度条目均分最低(0.25±0.08)分。经双变量Pearson直线相关检验结果显示,老年慢性病共病患者健康赋权与自我忽视间呈负相关(r=-0.686,P<0.01)。结论老年慢性病共病患者健康赋权和自我忽视水平较低,两者间呈负相关,临床应加强该类患者干预,提升健康赋权水平,降低自我忽视水平。
Objective To explore the correlation between the health empowerment level and self-neglect in elderly patients with multiple chronic conditions(MCC),and to provide a scientific basis for the formulation of clinical interventions for them.Methods A total of 157 patients with MCC admitted to a tertiary hospital in Nanyang from January 2021 to December 2022 were selected by convenient sampling method,and their health empowerment and self-neglect level were assessed by the Health Empowerment Scale(HES)and the Elderly Self-Neglect Questionnaire(ESNQ),respectively.Bivariate Pearson linear correlation was performed to identify the correlation between health empowerment and self-neglect.Results The mean total scores of HES of 157 MCC patients were(85.95±12.29)points.Among the dimensions of HES,the mean scores of growth knowledge were the highest(3.96±1.13)points,followed by the responsibility belief dimension(3.79±1.23)points.The mean score of participating in treatment dimension was the lowest(2.76±0.97)points.The mean total scores of ESNQ were(7.67±1.85)points.Among the dimensions of ESNQ,the mean score of healthcare dimension was the highest(0.48±0.12)points,followed by the living environment dimension(0.31±0.09)points,and the lowest was social interaction dimension(0.25±0.08)points.Bivariate Pearson linear correlation showed negative correlation between health empowerment and self-neglect in elderly patients with MCC(r=-0.686,P<0.01).Conclusion The level of health empowerment and self-neglect in elderly patients with MCC is low,and there is a negative correlation between them.Clinical intervention for them should be strengthened to improve the level of health empowerment and reduce the level of self-neglect.
作者
霍佩钰
翟芳
HOU Pei-yu;ZHAI Fang
出处
《中国疗养医学》
2023年第7期781-784,共4页
Chinese Journal of Convalescent Medicine
关键词
老年人
慢性病共病
健康赋权
自我忽视
相关性
Elderly
Multiple chronic conditions
Health empowerment
Self-neglect
Correlation
