摘要
目的了解中年高血压患者自我管理的现状并探讨其影响因素。方法运用自我管理能力问卷及影响因素问卷,对就诊于郑州市某综合性医院心血管内科的200例中年高血压患者进行调查。结果自我管理各维度得分分别为:日常生活行为管理(12.29±3.89)分,认知症状管理(12.33±2.80)分,疾病管理(18.88±3.88)分,自我管理总分(43.50±7.03)分。多元逐步回归分析显示:自我效能、对疾病的态度、文化程度是日常生活行为管理的影响因素;文化程度、高血压知识、性别是认知症状管理的影响因素;自我效能、高血压知识、家族史是疾病管理的影响因素;自我效能、对疾病的态度是自我管理总维度的影响因素(P<0.05)。结论中年高血压患者的自我管理现状不理想,自我效能、高血压知识和态度、文化程度、性别、家族史是主要影响因素。
Objective To investigate the current status of self-management of middle-aged patients with hypertension,and analyze its influencing factors.Methods A total of 200 middle-aged hypertensive patients were recruited from a general hospital in Zheng zhou and were investigated with the scale of self-management questionnaires and influencing factors questionnaires.Results Each dimension scores of self management were(12.29±3.89)for daily-life,(12.33±2.80)for self-management of cognitive symptom,(18.88±3.88)for disease self-management,and(43.50±7.03) for the total scores.Multiple linear regression analysis showed that self-efficacy,attitude and education level were the influencing factors of daily-life self-management,for cognitive symptom self-management,education level,hypertension-related knowledge and gender were the influential factors,for disease self-management,self-efficacy,hypertension-related knowledge and family hypertension history were the influencing factors and for total self-management,self-efficacy and attitude were the influencing factors.Conclusion The current status of self-management in middle-aged hypertensive patients was not ideal,self-efficacy,hypertension-related knowledge and attitude,education level,gender and family history were factors influencing self-management.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第2期117-119,共3页
Chinese General Practice
基金
郑州市科技局科技攻关项目(0910SGYG23257-6)
关键词
中年人
高血压
疾病管理
自我效能
日常生活活动
Middle aged
Hypertension
Disease management
Self-efficacy
Actirities of daily living