河北省老年冠心病患者健康自我管理现状

发布时间：2018-03-18 14:11

本文选题：冠心病　切入点：健康自我管理　出处：《中国公共卫生》2017年09期 　论文类型：期刊论文

【摘要】：目的了解城乡冠心病老年患者健康自我管理现状,分析家庭功能与其相关性,为采取应对措施提供理论依据。方法 2012年7月-2013年5月,采用多阶段分层整群抽样法抽取河北省唐山、石家庄、张家口3个市共6 173名≥60岁老年人进行成年人健康自我管理能力及家庭功能评定。结果 6173名老年人中冠心病老年人1408例,占22.8%;老年冠心病患者健康自我管理行为维度为(3.53±0.77)分,健康自我管理环境维度为(3.68±0.80)分,健康自我管理认知维度为(4.24±0.55)分,健康自我管理总均分为(3.83±0.59)分;单因素分析显示,城乡、文化程度、与谁同住、子女关心、与子女交流、家人指正不良行为、子女安排体检、家人督促就医及家庭功能与冠心病老年人健康自我管理总均分相关,差异有统计学意义(P0.05);多因素分析显示,子女安排体检(β=0.190)、与子女交流(β=0.185)、文化程度(β=0.169)、家庭功能(β=0.164)、城乡(β=-0.125)、家人指正不良行为(β=O.055)是冠心病老年人健康自我管理的影响因素(P0.05)。结论河北省城乡冠心病老年人自我管理行为有待提升,应调动家庭支持系统,提高其自我管理行为。
[Abstract]:Objective to investigate the status of health self-management in elderly patients with coronary heart disease (CHD) in urban and rural areas, and to analyze the correlation between family function and family function, so as to provide theoretical basis for taking countermeasures. Methods from July 2012 to May 2013, Using multi-stage stratified cluster sampling method to extract Tangshan, Shijiazhuang, Hebei Province, In three cities of Zhangjiakou, 6173 elderly people aged more than 60 years were assessed for their health self-management ability and family function. Results 1408 cases of coronary heart disease were found in 6173 elderly people. The scores of health self-management behavior dimension, health self-management environment dimension, health self-management cognitive dimension were 3.53 卤0.77, 3.68 卤0.80, 4.24 卤0.55, and 3.83 卤0.59 in elderly patients with coronary heart disease. Education level, children care, communication with children, family correction of bad behavior, arrangement of physical examination, family supervision and medical treatment and family function were related to the total mean score of health self-management of elderly patients with coronary heart disease. The difference was statistically significant (P 0.05). Children arrange physical examination (尾 0.190), communicate with their children (尾 0.185), education level (尾 0.169), family function (尾 0.164), urban and rural (尾 -0.125), family correction bad behavior (尾 0.055) are the influencing factors of health self-management in elderly patients with coronary heart disease (P 0.055.Conclusion: P < 0.05). Behavior needs to be improved, Family support systems should be mobilized to improve their self-management behavior.
【作者单位】：唐山工人医院;华北理工大学护理与康复学院;
【基金】：国家社会科学基金(12BRK017)
【分类号】：R541.4

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