摘要
目的探讨社区高血压老年人积极度现状并分析其影响因素。方法采用一般资料调查表、简体中文版患者积极度量表、高血压患者自我效能感量表、高血压患者自我管理行为测评量表、慢性病患者健康素养量表、患者健康状况抑郁量表对323例社区高血压老年人进行问卷调查。结果社区高血压老年人积极度得分为60.02(39.08,75.25)分,自我效能感得分为(41.54±7.61)分,自我管理行为得分为(106.29±19.39)分,健康素养得分为(80.02±14.27)分,抑郁得分为3.00(1.00,5.00)分。社区高血压老年人积极度与自我效能、自我管理行为、健康素养均呈正相关(r_(1)=0.499,r_(2)=0.437,r_(3)=0.306,均P<0.01),与抑郁呈负相关(r=-0.286,P<0.01)。退休前职业、饮酒、高血压患病年限、患高血压级别、自我效能感、自我管理行为、健康素养、抑郁程度是社区高血压老年人积极度的主要影响因素(P<0.05)。结论社区高血压老年人积极度处于中等水平,且各水平群体数量差异较大,医护人员应采取针对性措施对退休前无业、饮酒、高血压患病年限、患高血压级别、抑郁的高血压老年人积极度实施干预,提升自我效能感、自我管理行为和健康素养能力,从而提高社区高血压老年人积极度,改善其预后和生活质量。
Objective To explore the current situation and influencing factors of the patient activation levels among elderly people with hypertension in the community.Methods A total of 323 elderly people with hypertension in the community were surveyed using the general information questionnaire,Patient Activation Measure-13,Self-Efficacy Scale for Hypertension Patients,Hypertension Patients Self-Management Behavior Rang Scale,Health Literracy Management Scale and Patient Health Questionnaire-9.Results The patient activation score of elderly people with hypertension in the community was 60.02(39.08,75.25)points,the self-efficacy score was(41.54±7.61)points,the self-management behavior assessment score was(106.29±19.39)points,the health literacy score was(80.02±14.27)points,and the depression score was 3.00(1.00,5.00)points.The patient activation levels of elderly people with hypertension in the community was positively correlated with self-efficacy,self-management behavior,and health literacy(r_(1)=0.499,r_(2)=0.437,r_(3)=0.306,all P<0.01),and negatively correlated with depression(r=-0.286,P<0.01).The occupation before retirement,alcohol consumption,duration of hypertension,risk level of hypertension,self-efficacy,self-management behavior,health literacy and the degree of depression were the main influencing factors of patient activation levels(P<0.05).Conclusion The elderly people with hypertension in community demonstrate the intermediate activation levels with significant heterogeneity across activation stages.Healthcare staff should implement targeted multidimensional interventions focusing on subgroups exhibiting risk predictors including pre-retirement unemployment,alcohol consumption,prolonged hypertension duration,advanced disease severity,and comorbid depressive symptoms.By strategically enhancing self-efficacy cultivation,self-management capacity building,and health literacy empowerment,these interventions can effectively elevate patient activation levels,thereby to improve clinical prognosis and quality of life.
作者
庞慧
程焕焕
李燕
杨宝珍
董慧
王慧
高小红
樊婷婷
赵蕊
仇慧慧
王文军
PANG Hui;CHENG Huanhuan;LI Yan;YANG Baozhen;DONG Hui;WANG Hui;GAO Xiaohong;FAN Tingting;ZHAO Rui;QIU Huihui;WANG Wenjun(Department of Ultrasound Medicine,Ji'ning First People's Hospital,Ji'ning 272000,China;School of Nursing,Shandong University of Traditional Chinese Medicine,Ji'nan 250300,China;Weifang Vocational College of Nursing,Weifang 261000,China;Shandong Yikang Elderly Care Service Center,Ji'ning 272000,China;Department of Pharmacy,Eye Hospital Affiliated to Shandong University of Chinese Medicine,Ji'nan 250004,China)
出处
《护理管理杂志》
2025年第5期449-454,共6页
Journal of Nursing Administration
基金
健康山东建设揭榜攻关面上项目(2023-21)
2023年度山东省医务职工科技创新计划联合立项项目(SDYWZGKCJHLH2023074)。
关键词
社区
高血压
老年人
积极度
自我效能感
自我管理行为
慢性病
健康素养
护理
community
hypertension
the elderly
activation level
self-efficacy
self-management behavior
chronic disease
health literacy
nursing
