健康素养对原发性高血压病人自我管理行为的影响

Influence of health literacy on self-management behavior of patients with essential hypertension

[目的]探讨原发性高血压病人健康素养对自我管理行为的影响。[方法]采用慢性病病人健康素养问卷及高血压病人自我管理问卷对某市1所三级甲等医院高血压门诊419例原发性高血压病人进行调查。[结果]原发性高血压病人健康素养得分为(85.30±9.11)分,自我管理行为得分为(70.67±9.20)分;健康素养与自我管理行为呈正相关(P<0.01);回归分析显示,控制一般资料后,健康素养对自我管理行为变异量的解释增加了17.5%,进入回归方程的2个维度为信息获取能力和改善健康意愿。[结论]对高血压病人自我管理行为进行干预时,应注重健康素养培养和提升,进而达到有效控制血压的目的。

Objective：To explore influence of health literacy on self-management behavior of patients with essential hypertension.Methods：A total of 419 patients with essential hypertension were investigated by the questionnaire of health literacy for patients with chronic diseases and self management questionnaire for hypertension patients in 1 outpatients of three grade A hospitals in a city.Results：The score of health literacy in patients with essential hypertension was（85.30±9.11）.The score of self-management behaviors was（70.67±9.20）.Health literacy was positively correlated with self-management behavior（P〈0.01）.Regression analysis showed that,after controlling general data,health literacy increased 17.5% of the variance in self management behaviors,the 2 dimensions of the regression equation were information acquisition ability and health improvement intention.Conclusions：In order to achieve effective control of blood pressure,we should pay attention to the cultivation and promotion of health literacy in the intervention of self-management behaviors of patients with hypertension.