空巢老年高血压患者自我管理影响因素的中介模型

A Mediation Model of Factors Influencing the Self-Management of Empty-Nest Elderly Patients with Hypertension

目的:研究空巢老年高血压患者社会支持、治疗态度与信念同自我管理的关系,为提高其自我管理水平提供科学依据。方法:用社会支持评定量表、高血压患者治疗态度与信念量表、高血压患者自我管理量表,对208名研究对象进行问卷调查。结果:社会支持量表评分(41.93±5.48)分、高血压患者治疗态度与信念量表评分(64.22±10.92)分、高血压患者自我管理量表评分(70.68±9.21)分,高血压患者治疗态度与信念同社会支持和自我管理两两均呈正相关(P<0.05)。社会支持在高血压治疗态度与信念和高血压自我管理间存在部分中介效应,中介效应95%置信区间为(0.160,0.508),中介效应占总效应的41.42%。结论:社会支持、治疗态度与信念同空巢老年高血压患者自我管理水平关系密切,通过提高社会支持和患者治疗的态度与信念能提升其自我管理水平。

Objective:To study the relationship between social support,treatment attitudes and beliefs and self-management of empty-nest elderly patients with hypertension,and to provide a scientific basis for improving their self-management level.Methods:We established the social support rating scale,the scale of attitude and belief in treating hypertension,and the self-management scale of patients with hypertension to make a survey among 208 subjects.Results:The social support rating scale score was 41.93±5.48 points,the scale of attitude and belief in treating hypertension scored 64.22±10.92 points,and the self-management scale of patients with hypertension scored 70.68±9.21 points.There was a positive correlation between attitude and belief in hypertension treatment and social support and hypertension self-management(P<0.05).Social support had a partial mediating effect between attitudes and beliefs in the treatment of hypertension and self-management of hypertension.The 95%confidence interval of the mediating effect was(0.160,0.508).The mediating effect accounted for 41.42%of the total effect.Conclusion:Social support,treatment attitudes and beliefs are closely related to the self-management level of empty-nest elderly patients with hypertension.The self-management level can be improved by promoting social support and treatment attitudes and beliefs of patients.