摘要
目的分析健康素养对铜陵地区老年慢性病共存患者治疗负担的干预价值。方法选取铜陵市人民医院收治的铜陵地区老年慢性病共存患者300例,调查收集其一般资料,比较不同资料患者慢性病共存治疗负担问卷(MTBQ)评分,以多重线性回归分析法分析治疗负担影响因素,依据影响因素制定健康素养干预对策。另外,选取98例老年慢性病共存患者,随机分为2组,对照组予以常规干预,观察组在与对照组相同干预的基础上加用健康素养干预。评估并比较2组干预前后健康素养评分、MTBQ评分。结果主要照顾者为配偶/子女、家庭人均收入≤5000元/月、医保类型为新农合作医疗、慢性病数量>3种、健康素养水平低、社会支持水平低的患者MTBQ评分显著高于主要照顾者为自己、家庭人均收入>5000元/月、医保类型为职工/居民医疗保险、慢性病数量2种/3种、健康素养水平一般/较高/高、社会支持水平中/高患者(P<0.05);多重线性回归分析发现,家庭人均收入(β=1.265,P<0.001)、医保类型(β=1.074,P<0.001)、慢性病数量(β=0.946,P<0.001)、健康素养水平(β=1.683,P<0.001)、社会支持水平(β=1.992,P<0.001)为治疗负担影响因素;干预后观察组健康素养评分显著高于对照组(P<0.05),MTBQ评分显著低于对照组(P<0.05)。结论铜陵地区老年慢性病共存患者治疗负担影响因素主要包括家庭人均收入、医保类型、慢性病数量、健康素养及社会支持水平等;针对性的健康素养干预可有效减轻患者治疗负担,具有一定临床应用价值。
Objective To analyze the intervention value of health literacy on the treatment burden of elderly patients with co-existence of multiple chronic diseases in Tongling area.Methods 300 elderly patients with co-existence of multiple chronic diseases in Tongling area admitted to People's Hospital of Tongling City were selected.Their general data were collected.The scores of Multimorbidity Treatment Burden Questionnaire(MTBQ)of patients with different data were compared.Multiple linear regression analysis was conducted to screen the factors influencing treatment burden.Then the health literacy intervention strategies were developed based on influencing factors.In addition,98 elderly patients with co-existence of multiple chronic diseases were selected and randomly divided into 2 groups.The control group received routine intervention,while the observation group received health literacy intervention in addition to the same intervention as the control group.The health literacy scores and MTBQ scores of the two groups were evaluated and compared before and after the intervention.Results The MTBQ scores of patients with their spouse/children as main caregivers,family per capita income≤5000 yuan/month,new rural cooperative medical insurance,>3 types of chronic diseases,low health literacy level and low social support level were significantly higher than those of patients with themselves as main caregivers,family per capita income>5000 yuan/month,medical insurance for employees/urban residents,2/3 types of chronic diseases,average/relatively high/high health literacy level and medium/high social support level(P<0.05).Multiple linear regression analysis found that family per capita income(β=1.265,P<0.001),medical insurance type(β=1.074,P<0.001),number of chronic diseases(β=0.946,P<0.001),health literacy level(β=1.683,P<0.001)and social support level(β=1.992,P<0.001)were influencing factors of treatment burden(P<0.05).After intervention,the health literacy score of the observation group was significantly higher than that of the control group(P<0.05)and MTBQ score was significantly lower than that of the control group(P<0.05).Conclusion Family per capita income,medical insurance type,number of chronic diseases,health literacy level and social support level are influencing factors of treatment burden in elderly patients with co-existence of multiple chronic diseases in Tongling area.Targeted health literacy intervention can effectively reduce their treatment burden and has certain clinical application value.
作者
胡大霞
汪敏
汤玲
Hu Daxia;Wang Min;Tang Ling(Department of General Medicine,People's Hospital of Tongling City,Tongling,Anhui,244000,P.R.China)
出处
《老年医学与保健》
CAS
2024年第3期858-862,868,共6页
Geriatrics & Health Care
基金
2021年安徽省护理学会科研课题(AHHLa202120)。
关键词
老年
慢性病
治疗负担
健康素养
elderly
chronic disease
treatment burden
health literacy
