摘要
目的:探讨青年高血压病人疾病风险感知的潜在类别,分析疾病风险感知与心血管病发病风险的关系,为制定个性化风险沟通策略提供依据。方法:选取湖北省3所三级甲等综合医院的327例青年高血压病人为研究对象。采用一般资料调查表、慢性非传染性疾病风险感知评估工具、心血管病总体风险评估工具对青年高血压病人进行调查。结果:青年高血压病人疾病风险感知得分为59.00(52.00,64.00)分。潜在剖面分析显示,疾病风险感知可分为感知障碍型⁃低疾病风险感知组(10.4%)、常态型⁃中疾病风险感知组(76.1%)、积极行动型⁃高疾病风险感知组(13.5%)3个类别。青年高血压病人疾病风险感知潜在类别与心血管病10年风险评估及心血管病终生风险呈负相关(P<0.001)。回归分析结果显示,心脑血管病家族史是青年高血压病人疾病风险感知潜在类别的影响因素(P<0.05)。结论:青年高血压病人疾病风险感知处于中等水平,但具有异质性。疾病风险感知是心血管病发病风险的重要影响因素,医护人员可针对疾病风险感知的潜在类别制定精准、个性化风险沟通策略,以改善青年高血压病人的疾病认知,降低心血管病的发病风险。
Objective:To explore the potential categories of disease risk perception in young patients with hypertension,and to analyze the relationship between disease risk perception and the risk of cardiovascular disease onset,so as to provide basis for formulating personalized risk communication strategies.Methods:A total of 327 young patients with hypertension from 3 tertiary grade A general hospitals in Hubei province were selected as the research subjects.The general information questionnaire,Non⁃Communicable Diseases Perceived Risk(NCD⁃PR)and the overall risk assessment tool for cardiovascular diseases were used to investigate young patients with hypertension.Results:The disease risk perception score of young hypertensive patients was 59.00(52.00,64.00).Latent profile analysis showed that disease risk perception of young patients with hypertension could be divided into three categories:perception disorder type⁃low disease risk perception group(10.4%),normal type⁃moderate disease risk perception group(76.1%),and active action type⁃high disease risk perception group(13.5%).The potential categories of disease risk perception in young patients with hypertension were negatively correlated with the 10⁃year risk assessment of cardiovascular diseases and the lifetime risk of cardiovascular diseases(P<0.001).The results of the regression analysis showed that family history of cardiovascular and cerebrovascular diseases was the influencing factors of the potential category of disease risk perception in young hypertensive patients(P<0.05).Conclusions:The disease risk perception of young patients with hypertension was at a medium level,but it was heterogeneous.Disease risk perception was an important influencing factor for the risk of cardiovascular disease onset.Medical staff could formulate precise and personalized risk communication strategies based on the potential categories of disease risk perception,to improve the disease cognition of young hypertensive patients and reduce the risk of cardiovascular disease onset.
作者
江敏
柯键
李清念
翟伟
章莉莎
黄婷婷
JIANG Min;KE Jian;LI Qingnian;ZHAI Wei;ZHANG Lisha;HUANG Tingting(Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Hubei 430030 China)
出处
《护理研究》
北大核心
2025年第16期2708-2714,共7页
Chinese Nursing Research
基金
华中科技大学同济医学院护理学院自主创新基金项目,编号:ZZCX2023T008
同济医院科研基金护理专项项目,编号:2023D10。
关键词
心血管病
风险感知
青年
高血压
潜在剖面分析
影响因素
cardiovascular disease
risk perception
youth
hypertension
latent profile analysis
influencing factors
