厦门农村老年高血压患者自我效能与生存质量的相关性研究

The correlation between self-efficacy and life quality in aged patients with hypertension from rural area of Xiamen

目的探讨厦门农村老年高血压患者自我效能与生存质量相关性。方法采用自行设计的一般资料问卷、高血压患者自我效能评价表、SF-36量表对160例农村社区高血压患者进行研究。结果所有患者自我效能得分和生存质量都处于中等水平；自我效能较好者生存质量总评分高于自我效能中等及自我效能较差者，差异均有统计学意义（均P〈0．01）；相关性显示，自我效能水平与生存质量存在密切相关性，差异有统计学意义（P〈0．01）。药物治疗、健康行为、日常生活3个维度与生存质量存在密切相关性，尤其是日常生活和药物治疗，差异有统计学意义（P〈0．01）。结论加强自我效能水平能有效提高患者的生存质量，为提升其自我效能水平，需要加强社区卫生人员的支持和干预，尤其在药物治疗、健康行为、日常生活的方面。

Objective To explore the correlation between self-efficacy and life quality in aged patients from rural area of Xiamen with hypertension. Methods A total of 160 aged patients with hypertension were recruited and in- vestigated with general questionnaire, SF-36 Self-efficacy Assessment SCale for Hypertensive. Results The mean scores of self-efficacy and life quality were both at the middle level. The overall score of self-efficacy was higher than that of the self-efficacy and poor self-efficacy, and the difference was statistically significant （P〈0.01 ）. Correlation showed that the level of self-efficacy was closely related to the quality of existence （P〈0.01）. The three dimensions of drug thera- py, health behavior and daily life were closely related to the quality of life, especially daily life and drug therapy （P〈 0. 01 ）. Conclusion Enhancing the level of self-efficacy can effectively improve patients＇ quality of life. To improve their self-efficacy, it is necessary to strengthen the support and intervention of community health workers, especially in the aspects of drug therapy, healthy behaviors and daily life.