摘要
目的了解云南省彝族聚集农村地区高血压老年患者自评健康现状,并探究其影响因素。方法采取方便抽样,在云南省彝族聚集农村地区选取高血压老年患者980例,通过问卷调查收集其基本信息、自我管理和自测健康水平。通过Pearson相关性分析探究自我管理和自测健康水平之间的关系,采用多因素线性回归分析探究高血压老年患者自评健康水平的影响因素。结果云南省彝族聚集农村地区高血压老年患者自测健康水平和自我管理水平都较差,汉族和彝族高血压老年患者的自评健康总分比较差异无统计学意义(t=1.458,P=0.145),汉族高血压老年患者的自我管理总分(66.50±9.60)分,高于彝族高血压老年患者(64.93±8.69)分;上过学(b=10.408,P<0.001)、经济状况好(b=8.309,P<0.001)和自我管理总分高(b=1.911,P<0.001)是自评健康水平的保护因素,而独居(b=-7.052,P=0.039)、最近2周看过病(b=-5.950,P=0.049)、身体残障(b=-17.445,P<0.001)和患有其他慢病(b=-14.014,P<0.001)是自评健康的危险因素。结论云南省彝族聚集农村地区高血压老年患者自测健康状况较差,应加强高血压老年患者自我管理能力的指导和培训,并重点关注独居、身体状况差的高血压老年患者,以增进该类地区高血压老年患者身心健康。
Objective To investigate the self-rated health status of elderly hypertensive patients in rural areas of Yi people,Yunnan province,and explore the influencing factors.Methods A convenience sample of 980 elderly hypertensive patients from rural areas where Yi ethnic groups gather in Yunnan Province was selected and their basic information,self-management and self-rated health level were investigated through a questionnaire survey.The relationship between self-management and self-rated health level was explored by Pearson correlation analysis.Finally,the influencing factors of the self-rated health level of elderly hypertensive patients were explored by multiple linear regression analysis.Results The participants reported low levels of self-rated health and self-management behavior.There was no significant difference in self-rated health scores between Han and Yi hypertensive elders(t=1.458,P=0.145).However,Han hypertensive elders had significantly higher self-management scores than Yi hypertensive elders(t=2.577,P=0.010).Accepted education(b=10.408,P<0.001),good economic situation(b=8.309,P<0.001),and high self-management score(b=1.911,P<0.001)were protective factors for self-rated health,while living alone(b=-7.052,P=0.039),having a disease in the past two weeks(b=-5.950,P=0.049),being physically disabled(b=-17.445,P<0.001),and having other chronic diseases(b=-14.014,P<0.001)were risk factors for self-rated health.Conclusions The findings suggest that elderly hypertensive patients in rural Yi areas have poor self-rated health.Interventions are recommended to enhance their self-management skills and to address their specific needs,especially for those who live alone or have poor physical condition.
作者
胡琪川
蒋丽春
冯福静
张雅静
赵汐萌
张月韫
张河川
HU Qichuan;JIANG Lichun;FENG Fujing;ZHANG Yajing;ZHAO Ximeng;ZHANG Yueyun;ZHANG Hechuan(School of Medicine,Yunnan College of Business Management,Kunming Yunnan 650101,China)
出处
《昆明医科大学学报》
CAS
2023年第7期40-46,共7页
Journal of Kunming Medical University
基金
国家级大学生创新创业训练计划项目(202012560005)
云南省教育厅科学研究基金资助项目(2021J0773)。
关键词
彝族农村地区
高血压老年患者
自我管理
自评健康
Yi rural areas
Elderly people with hypertension
Self-management
Self-rated health
