朝鲜族高血压住院患者治疗依从性与社会支持、自我效能相关性研究

发布时间：2018-01-04 08:14

本文关键词：朝鲜族高血压住院患者治疗依从性与社会支持、自我效能相关性研究　出处：《延边大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：了解朝鲜族高血压住院患者治疗依从性、社会支持和自我效能的水平及影响因素;明确朝鲜族高血压住院患者治疗依从性、社会支持、自我效能在一般人口学变量上的差别：分析朝鲜族高血压住院患者治疗依从性与社会支持、自我效能之间的相关性。方法：本研究属于非实验性研究中的相关性研究。选取延边地区两所医院的心内科和神经内科朝鲜族高血压住院患者为研究对象。采取的调查工具有一般人口学量表、高血压治疗依从性量表(TASHP)、社会支持评定量表(SSRS)、高血压患者自我效能评价表(HSES)构成的问卷进行调查。全部数据使用SPSS17.0统计软件对有用数据整理、分析。采用(频数、均数、标准差、百分比)对高血压住院患者一般资料进行描述性分析；采用t检验和单因素方差分析,对高血压住院患者一般人口学资料与治疗依从性、社会支持、自我效能三者总分及各维度得分进行统计分析：以社会支持的总共得分和各维度的得分,自我效能的总共得分和各维度的得分为自变量,治疗依从性总分及各维度得分为因变量,进行多元逐步回归分析,探讨朝鲜族高血压住院患者治疗依从行为的主要影响因素。结果：1.调查对象392人,大于60岁高血压患者居多,占28.1%；男性占58.9%；居住在城市的占72.5%；已婚占73.1%；中专／高中的占38.2%；城镇医保患者占68.6%：病程在1-3年的占38.2%。2.392例朝鲜族高血压住院病人治疗依从性得分为83.05±11.55,各维度中的得分分别为：遵医服药行为]7.93±3.29、不良服药行为-0.98±1.96、日常生活管理行为34.43±6.46烟酒嗜好管理行为6.91±2.24。3.392例朝鲜族高血压住院病人社会支持的得分为40.07±7.205,各维度得分分别为：客观支持12.06±3.23、主观支持21.08±4.163和支持的利用度6.93±1.95。4.392例朝鲜族高血压住院病人自我效能的得分为39.50±6.98,各维度得分分别为：日常生活10.30±2.17、健康行为7.43±1.89、药物治疗10.97±2.31、遵医行为10.81±2.39。5.单因素分析显示：社会支持情况差异突出的有居住地、年龄、学历、婚姻情况、医费方式：自我效能在居住地、学历、医费方式、病程时间中有明显差异；治疗依从性有明显差异的有性别、年龄、病程、居住地。6.多因素分析显示：自我效能药物治疗、社会支持客观支持进入回归模型,能够解释高血压患者治疗依从性全部变异的24.7%。结论：1.朝鲜族住院高血压患者社会支持呈中等水平：自我效能水平较高,其中健康行为表现最好,日常生活行为表现最差；治疗依从性水平处于中等状态,日常生活管理行为表现最好,烟酒嗜好管理行为表现最差。2.朝鲜族高血压住院患者的社会支持和自我效能水平与治疗依从性呈正相关,社会支持与自我效能水平越高,治疗依从行为越好。
[Abstract]:Objective: to investigate the therapeutic compliance, social support and self-efficacy of Korean patients with hypertension and its influencing factors. To clarify the difference in general demographic variables of Korean hypertension inpatients with treatment compliance, social support, self-efficacy in general demographic variables: analysis of the Korean hypertension inpatient treatment compliance and social support. Correlation between self-efficacy. Methods:. This study belongs to the correlation study of non-experimental research. Selected two hospitals in Yanbian area cardiology and neurology Korean hypertension inpatients as the research object. The survey tool is the general demography scale. The treatment compliance of hypertension was assessed by TASHPU and SSRSs by Social support rating scale (SSRS). All the data were collected and analyzed by SPSS17.0 statistical software. (frequency, mean, standard deviation) were used. Percentage) descriptive analysis of general data of hypertension inpatients; T test and single factor analysis of variance were used to analyze the general demographic data and treatment compliance, and social support of hypertension inpatients. The total score of self-efficacy and the scores of each dimension were statistically analyzed: the total score of social support and the score of each dimension, the total score of self-efficacy and the score of each dimension were independent variables. The total score of therapeutic compliance and the scores of each dimension were taken as dependent variables. Multivariate stepwise regression analysis was carried out to explore the main influencing factors of the behavior of treatment compliance of Korean hypertensive inpatients. Results: 1. 392 subjects were investigated. The majority of hypertension patients were over 60 years old, accounting for 28.1%. Male 58.9; The proportion living in cities is 72.5; 73.1 married; 38.2% of secondary / senior secondary schools; Medical insurance patients in urban areas accounted for 68.6%: 38.2% in 1-3 years. 2.392 cases of Korean hypertension inpatients with treatment compliance score was 83.05 卤11.55. The scores in each dimension were 7.93 卤3.29 and -0.98 卤1.96 respectively. Daily life management behavior 34.43 卤6.46 smoking and alcohol addiction management behavior 6.91 卤2.24.3.392 Korean hypertension inpatients with social support score was 40.07 卤7.20. 5. The scores of each dimension were: objective support 12.06 卤3.23. The scores of subjective support 21.08 卤4.163 and support utilization 6.93 卤1.95.4.392 Korean hypertension inpatients were 39.50 卤6.98. The scores of each dimension were: daily life 10.30 卤2.17, healthy behavior 7.43 卤1.89, drug treatment 10.97 卤2.31. The univariate analysis showed that there were significant differences in social support, such as residence, age, educational background, marital status, medical expenses, self-efficacy in the place of residence, educational background. There were significant differences in the cost of medical treatment and the duration of the disease course. There were significant differences in treatment compliance among gender, age, course of disease, residence. 6. Multivariate analysis showed that: Self-efficacy drug therapy, social support objective support into the regression model. Conclusion: 1. Social support of Korean inpatients with hypertension was moderate: the level of self-efficacy was high, among which healthy behavior was the best. The behavior of daily life was the worst; Treatment compliance level is in a medium state, daily life management behavior is the best. The social support and self-efficacy of Korean hypertension inpatients were positively correlated with the treatment compliance, and the higher the level of social support and self-efficacy. 2. The better the therapeutic compliance.
【学位授予单位】：延边大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R473.5

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