Potential profile analysis of self-health management behavior and category influencing factors in elderly hy-pertensive patients
Objective To explore the potential classification of self-management behaviors in elderly patients with hypertension,and to analyze the influencing factors of different categories.Method The Second Affiliated Hospital of Guizhou University of Chinese Medicine selected 125 elderly hypertensive patients from June 2023 to August 2023 as the study subjects.The research tools include general data,social support rating scale,disease self-feeling burden scale and self-management behavior scale of hypertensive patients,potential cross-sectional analysis of self-management behavior of elderly hypertensive patients by Mplus,and multivariate logistic regres-sion model by R3step method to analyze the influencing factors of potential categories.Results The self-management behaviors of 125 elderly patients with hypertension were divided into four potential categories,namely"stable group with low level of self-management a-bility"(37%),"stable group with high level of self-management ability"(19%),"stable group with intermediate level of self-man-agement ability"(34%),and"low level of unstable self-management ability"(10%).Multivariate logistic regression analysis showed that compared with the"stable group with high level of self-management ability",self-feeling burden(OR=1.211 in the stable group with low level of self-management ability)was a risk factor for self-management ability.For women(OR=0.364 in the low-level unsta-ble group with low level of self-management ability,OR=0.387 in the moderately stable group with classified self-management abili-ty),high school or college(OR=0.312 in the stable group with low level of self-management ability,college or undergraduate(OR=0.024 in the stable group with low level of self-management ability),non-solitary state(OR=0.155 in the stable group in the classi-fied self-management ability),daily exercise>1 h(OR=0.075)and social support(OR=0.786 in the stable group with low self-management ability,OR=0.806 in the low-level unstable group with low self-management ability,OR=0.810 in the stable group with categorical self-management ability)were protective factors.Conclusion This study identified four potential categorical and predictors of self-management behavior in older patients with hypertension.There is heterogeneity in the self-management behavior of elderly hy-pertensive patients,and medical staff can carry out targeted interventions according to the influencing factors of self-management behav-ior category of elderly hypertensive patients.
High blood pressure in old agePotential category analysisHealth behaviorsPotential category analysisInfluen-cing factors