Analysis of health management needs and influencing factors of elderly patients with chronic diseases in Yinchuan city
Objective To explore the health management needs and influencing factors of elderly patients with chronic dis-eases in Yinchuan city,and to provide basis for formulating health management strategies for elderly patients with chronic diseases.Methods From April 1 to June 30,2023,a self-designed questionnaire was used to conduct a random encounter survey on 300 elderly chronic disease patients in the community of Yinchuan city,including general demographic data,chronic disease status,and chronic disease health management needs.Oone-way ANOVA,t-test,and multivariate logis-tic regression were used to analyze the influencing factors.Results The prevalence rate of elderly patients suffering from≥2 chronic diseases was 56.67％in Yinchuan city.Univariate analysis results showed that the age(x2=9.646,P=0.008),education level(x2=15.545,P＜0.001),main source of income(x2=8.421,P=0.038),current monthly income(x2=8.631,P=0.013),year of illness(x2=6.789,P=0.034),drug buying institution(x2=11.274,P=0.010).medicine duration(x2=8.857,P=0.031),communication intention(x2=17.019,P＜0.001),establishment of resident health records(x2=13.916,P＜0.001)and family doctor contract(x2=5.952,P=0.015)on health man-agement service demand of elderly patients with chronic diseases were statistically significant.Binary logistic analysis demonstrated that education level at high school(OR=0.344,95％CI:0.151-0.783,P=0.011),college degree or a-bove(OR=0.342,95％CI:0.126-0.924,P=0.034),main income source as other(OR=3.354,95％CI:1.177-9.556,P=0.023),medicine duration of 5-10 years(OR=0.419,95％CI:0.182-0.965,P=0.041)and medicine du-ration of＞15 years(OR=0.128,95％CI:0.018-0.901,P=0.039),willingness to communicate(OR=5.364,95％CI:2.068-13.913,P=0.001)and establishment of resident health records(OR=0.363,95％CI:0.165-0.801,P=0.012)had significant effects on health management service demand of elderly patients with chronic diseases.The top 5 demands for health management among elderly chronic disease patients were health record management(92.00％),health examination(90.33％),rehabilitation training after illness or external injury(88.67％),health consultation and fol-low-up medical services after physical examination(87.67％),and routine medication guidance(85.33％).Conclusions Elderly patients with chronic diseases have a high demand for health management,which is greatly affected by education level,willingness to communicate and the establishment of health records.The team building of family doctors should be im-proved.The health management with traditional Chinese medicine characteristics should be carried out.And patients,families and communities should cooperate to integrate resources,and form a comprehensive service system for chronic disease prevention and treatment to meet the multi-level health needs of elderly patients with chronic diseases.
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