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原发性高血压患者的健康素养潜在类别及其对生活质量的影响

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为探讨原发性高血压患者的健康素养潜在类别及其对生活质量的影响,于2021年11月至2023年2月,通过方便抽样法,选取某三级甲等医院心内科符合纳入标准和排除标准的首次确诊为高血压的住院患者217例,采用一般资料问卷、中文版高血压健康素养量表和中医高血压量表调查患者的健康素养和生活质量水平,并采用潜在剖面分析、单因素分析等方法进行数据处理.结果显示:通过潜在剖面分析得到患者健康素养的3种类别,即健康素养缺乏组(61.1%)、健康素养中等组(31.6%)和健康素养充足组(7.3%);不同类别在年龄、家庭月收入、文化程度、合并症、血压分级等方面存在统计学差异(P<0.05);患者的健康素养类别与其生活质量得分存在差异性.可见,大部分原发性高血压患者的健康素养水平处于中、低等水平,且患者的健康素养水平存在群体异质性.医护人员应根据患者的实际情况,制定个体化的干预措施,以提高其健康素养和生活质量水平.
Potential Categories of Health Literacy in Patients with Primary Hypertension and Its Impact on Quality of Life
To explore the potential categories of health literacy in patients with primary hypertension and its impact on quality of life,217 hospitalized patients with first-time confirmed hypertension who met the inclusion and exclusion criteria in the cardiology department of a tertiary a hospital were selected by convenience sampling method from November 2021 to February 2023.The general information questionnaire,Chinese version of the Hypertension Health Literacy Scale,and Traditional Chinese Medicine Hypertension Scale were used to investigate the health literacy and quality of life of the patients,and latent profile analysis and univariate analysis were used for data processing.There were three categories of patients'health literacy through latent profile analysis:the health literacy deficiency group(61.1%),the moderate health literacy group(31.6%),and the health literacy sufficiency group(7.3%).There were statistical significant differences among different categories in terms of age,family monthly income,education level,comorbidities,and blood pressure grading(P<0.05);There were differences in the categories of patient health literacy and quality of life scores.Most patients with primary hypertension have moderate to low levels of health literacy,and there was group heterogeneity in their health literacy levels.Nurses should develop personalized intervention measures based on the actual situation of patients to improve their health literacy and quality of life.

hypertensionhealth literacylatent profile analysisquality of life

龚莉、邵圣文、蔡珍珍、杨斐雁、张莉

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岳池县人民医院心内科,四川广安 638300

湖州师范学院医学院、护理学院,浙江湖州 313000

高血压 健康素养 潜在剖面分析 生活质量

2024

湖州师范学院学报
湖州师范学院

湖州师范学院学报

影响因子:0.301
ISSN:1009-1734
年,卷(期):2024.46(10)