基于健康生态学的老年冠心病合并高血压患者健康素养现状及影响因素
Status and influencing factors of health literacy in elderly patients with coronary heart disease complicated with hypertension based on health ecology
王芬 1于培培 1赵文文 1刘春梅 1李亚芬 1王毓1
作者信息
- 1. 济宁医学院附属医院心内科, 济宁 272029
- 折叠
摘要
目的 基于健康生态学视角,分析老年冠心病合并高血压患者健康素养现状及不同层面的影响因素.方法 采用便利抽样法,以 2021 年 12 月—2022 年 5 月就诊于山东省某三级甲等医院的住院患者为研究对象,采用一般资料调查表、慢性病患者健康素养量表、慢性病自我效能量表、社会支持评定量表对 175 例老年冠心病合并高血压患者进行调查,采用中国公民健康素养调查问卷对其照护者进行调查.结果 老年冠心病合并高血压患者健康素养总分为(95.69±20.86)分.多重线性回归分析结果显示,NYHA心功能分级、慢性病自我效能、社会支持、文化程度是老年冠心病合并高血压患者健康素养的主要影响因素(P<0.05),共解释总变异的43.7%.结论 老年冠心病合并高血压患者健康素养总体水平有待提高.医护人员应重点关注文化程度低、心功能差、社会支持水平低的患者,鼓励患者构建积极的人际关系网络,提高患者自我效能,进而提高患者健康素养水平.
Abstract
Objective To analyze the status and influencing factors at different levels of health literacy in elderly patients with coronary heart disease complicated with hypertension from the perspective of health ecology.Methods From December 2021 to May 2022,convenience sampling method was used to investigate 175 elderly patients with coronary heart disease complicated with hypertension by The General Information Questionnaire,Chronic Disease Health Literacy Scale,Chronic Disease Self-Efficacy Scale and Social Support Rating Scale.Chinese citizens health literacy Questionnaire was used to investigate the caregivers.Results The total score of health literacy in elderly patients with coronary heart disease complicated with hypertension was(95.69±20.86).The results of multiple linear regression analysis showed that,NYHA cardiac function grade,chronic disease self-efficacy,social support and education level were the main influencing factors of health literacy in elderly patients with coronary heart disease complicated with hyperten-sion(P<0.05),explaining 43.7%of the total variation.Conclusion The overall level of health literacy in elderly pa-tients with coronary heart disease complicated with hypertension need to be improved.Medical staff should adopt targeted health education for patients with different characteristics,focusing on patients with low education level,poor cardiac function and low social support level,encouraging patients to build positive interpersonal relationship network,improving patients'self-efficacy,and then improving patients' health literacy level.
关键词
健康生态学/健康素养/冠心病/高血压/自我效能/社会支持Key words
Health ecology/Health literacy/Coronary heart disease/Hypertension/Self-efficacy/Social support引用本文复制引用
基金项目
2021年度济宁市哲学社会科学规划项目(21JSGX077)
济宁医学院附属医院"苗圃"科研计划项目(MP-MS-2021-019)
出版年
2024
NETL
NSTL
万方数据