摘要
目的：了解年龄、文化程度、病程对社区老年高血压患者自我管理水平的影响。方法2015年5月至9月,应用一般情况调查表和高血压患者自我管理行为测评量表对洛阳市300名社区老年高血压患者自我管理水平及相关因素调查,并按年龄、文化程度、病程分层分析其各维度自我管理水平。结果社区老年高血压患者自我管理总体得分为（3.71±0.36）分,处于中等偏低水平。自我管理水平由高到低依次为运动管理、用药管理、情绪管理、工作与休息管理、饮食管理、病情监测。病情监测方面,60-69岁组社区老年高血压自我管理水平低于70岁及以上者（P〈0.05）；情绪管理方面,≥80岁组自我管理水平好于79岁及以下者（P〈0.05）；病情监测和饮食管理方面,初中及以下组自我管理水低于其他组（P〈0.05）；用药管理方面,高血压病程11 a以上者好于10 a以下者（P〈0.05）。结论社区老年高血压患者自我管理总体处于中等偏低水平,而饮食管理、病情监测得分尤其低。年龄与患者的病情监测、情绪管理水平有关,文化程度与患者的病情监测、饮食管理水平有关,病程与患者的用药管理水平有关。
Objective To investigate the influence of age, education, course of illness on self-care levels of elderly hypertensive patients in communities of Luoyang. Methods From May to September 2015, a total of 300 elderly hypertensive patients were surveyed with the general questionnaire and the Hypertension Patients Self-management Behavior Rating Scale in Luoyang communities, and the various dimensions of self-care level by age, education, course of illness of the aged were analyzed. Results The overall score of self-care in elderly hypertensive patients was （3. 71 ± 0. 36） in communities, which was the medium to low level. Scores of self-care from high to low by turns were sports management, medication management, emotion management, work and rest management, diet management and disease surveillance. In disease surveillance, 60-69 age group was inferior to the other groups（P 〈0. 05）. In emotion management, 80 years or older age group was better than the other groups （ P 〈0 . 05 ） . In disease surveillance and diet management , group with junior middle school level of education or below that was inferior to the other groups （P〈0. 05）. In medication management, group of 11 years or longer in course of illness were better than the other groups（P〈0. 05）. Conclusion The overall self-care behavior of elderly hypertensive patients was in medium to low level in communities, and the score of diet management and disease surveillance were low in particular. Age of elderly hypertensive patient was associated with the disease surveillance and emotion management. Education of elderly hypertensive patient was associated with the disease surveillance and diet management, and the course of illness was associated with the medication management in communities.
出处
《河南科技大学学报（医学版）》
2016年第4期298-300,303,共4页
Journal of Henan University of Science & Technology:Medical Science
基金
河南科技大学SRTP项目(2015131)
关键词
高血压
社区护理
自我护理
老年人
hypertension
community health nursing
self-care
the aged
