Analysis on self-efficacy level and influencing factors of elderly hypertension patients in community
Objective To explore the current level of self-efficacy among elderly patients with hypertension and analyze its influencing factors,so as to provide a basis for interventions to enhance their self-efficacy and improve their quality of life.Methods From July to September 2021,a stratified cluster sampling method was adopted to select 610 elderly hy-pertension patients from 4 counties(districts)in Wenzhou city,Zhejiang province as the investigation objects.Surveys were conducted using a general information questionnaire,a self-efficacy scale,and a social support scale.SPSS28.0 statis-tical software was used to analyze the self-efficacy levels of elderly patients with hypertension.Results The self-efficacy score of 610 elderly hypertension patients in community was(5.77±1.96).Symptom management self-efficacy and dis-ease commonality management self-efficacy scores were both＜7 points.There were statistically significant differences in self-efficacy scores among patients with different places of residence and monthly family income(t/F=-4.467,7.191,P＜0.05).There were statistically significant differences in the self-efficacy scores of"no more than 6g daily salt intake",smoking,drinking,adhering to exercise,taking antihypertensive drugs according to prescription dose,and taking antihypertensive drugs according to prescription time(H=12.575,33.410,23.194,29.067,24.562,19.769,P＜0.05)The social support questionnaire score of 610 elderly hypertension patients was(39.162±6.830)points,the subjective support score was(23.264±4.570)points,the objective support score was(8.330±2.145)points,and the utilization rate of support was(7.569±2.175)points.There was a negative correlation between subjective support score and symp-tom management self-efficacy score in elderly hypertension patients(r=-1.060,P=0.009),and a positive correlation between objective support score and disease commonality management self-efficacy score(r=0.086,P=0.033)Sup-port utilization score was positively correlated with disease commonality management self-efficacy score and self-efficacy score(r=0.126,0.099,P=0.002,0.014),and social support score was positively correlated with disease commonality management self-efficacy score(r=0.121,P=0.003).Residence,family monthly income,whether there are clinical symptoms of hypertension,smoking,exercise,taking antihypertensive drugs according to prescription time were the influ-encing factors of self-efficacy(t/F=2.636,2.882,-2.360,5.122,4.246,2.434,P=0.009,0.004,0.019,＜0.001,＜0.001,0.015).Conclusion Elderly community patients with hypertension have low levels of self-efficacy,influenced by factors such as residence,monthly household income,presence of hypertension symptoms,smoking,exercise,and adherence to prescribed medication times.
NETL
NSTL
万方数据
