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慢性病居民慢性病防治素养与健康焦虑关系的城乡差异研究

Investigation on the relationship between chronic disease prevention literacy and health anxiety among chronic disease residents an urban-rural comparison
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摘要 目的了解慢性病居民慢性病防治素养与健康焦虑现状及其城乡差异,为提高慢性病居民慢性病防治水平提供依据。方法采用横断面研究方法。于2022年7—8月采用多阶段随机抽样方法,抽取扬州市1个农村卫生院慢性病居民201例和2个城市社区卫生服务中心慢性病居民242例为研究对象,采用一般人口学特征调查表、慢性病防治素养调查问卷、短版健康焦虑量表进行问卷调查。结果201例农村慢性病居民中男93例,女108例,年龄19~69岁;242例城市社区慢性病居民中男116例,女126例,年龄18~69岁。农村慢性病居民慢性病防治素养得分(7.86±2.25)分,低于城市慢性病居民(8.55±2.03)分,农村慢性病居民健康焦虑得分(13.69±5.26)分,高于城市慢性病居民(11.67±5.95)分,两者比较差异均有统计学意义(t=-3.43、3.79,均P<0.05)。控制一般人口学资料后,对农村慢性病居民与城市慢性病居民分别进行分层线性回归分析后显示,健康焦虑均可以负向影响农村慢性病居民与城市慢性病居民的慢性病防治素养水平(β=-0.185、-0.129,均P<0.05)。结论慢性病居民的慢性病防治素养及健康焦虑存在城乡差异,应加强对农村慢性病居民的心理建设,以提高其慢性病防治素养。 ObjectiveTo understand the current status of the level of chronic disease prevention and treatment literacy and health anxiety among chronic disease residents,as well as the urban-rural differences,in order to provide a basis for improving the level of chronic disease prevention and treatment literacy among chronic disease residents.MethodsThis was a cross-sectional study.From July to August 2022,a multi-stage random sampling method was adopted to select 201 rural residents with chronic diseases in one rural health center and 242 urban residents with chronic diseases in two community health service centers.General demographic characteristics questionnaire,Chronic Disease Prevention and Control Literacy Questionnaire and Short version of Health Anxiety Scale were used for questionnaire survey.ResultsThere were 93 males and 108 females with chronic diseases in 201 rural chronic disease residents,and the age range was 19-69 years.There were 116 males and 126 females with chronic diseases in 242 urban chronic disease residents,and the age range was 18-69 years old.The score of chronic disease prevention and control literacy of rural chronic disease residents(7.86±2.25)was lower than that of urban chronic disease residents(8.55±2.03).The score of health anxiety of rural chronic disease residents(13.69±5.26)was higher than that of urban chronic disease residents(11.67±5.95).Both differences were statistically significant(t=-3.43,3.79,both P<0.05).After controlling the general demographic data,the layered linear regression analysis of rural chronic disease residents and urban chronic disease residents showed that health anxiety can negatively affect rural chronic disease residents and urban chronic disease residents of chronic disease prevention and treatment literacy level(β=-0.185,-0.129,both P<0.05).ConclusionsThere are urban-rural differences in chronic disease prevention and treatment literacy and health anxiety of chronic disease residents in community.It is necessary to strengthen psychological construction
作者 魏玉莲 冒鑫娥 田苗 张家慧 于尚平 卢逸晨 王艳 Wei Yulian;Mao Xin′e;Tian Miao;Zhang Jiahui;Yu Shangping;Lu Yichen;Wang Yan(Department of Nursing,Taizhou People′s Hospital,Taizhou 225300,China;School of Nursing·School of Public Health,Yangzhou University,Yangzhou 225000,China;Department of Geriatrics,Northern Jiangsu People′s Hospital,Yangzhou 225000,China)
出处 《中国实用护理杂志》 2024年第24期1879-1884,共6页 Chinese Journal of Practical Nursing
基金 江苏省苏北人民医院院级课题护理研究专项(SBKY21047)。
关键词 慢性病 慢性病防治素养 健康焦虑 城乡差异 Chronic disease Chronic disease prevention and treatment literacy Health anxiety Urban-rural difference
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