重症支气管哮喘患者健康促进行为的影响因素

Influencing factors of health-promoting behavior in patients with severe bronchial asthma

目的:分析重症支气管哮喘患者健康促进行为的影响因素。方法:选取95例重症支气管患者为研究对象,采用健康促进生活方式量表Ⅱ(HPLP-Ⅱ)评估患者健康行为情况,并经Logistic回归分析重症支气管哮喘患者健康促进行为的影响因素。结果:95例重症支气管哮喘患者入院时HPLP-Ⅱ评分>69分37例,占比38.95%;HPLP-Ⅱ≤69分重症支气管哮喘患者的性别、康复锻炼、婚姻情况、高血压、糖尿病、家庭氧疗及获得知识相关途径等因素与HPLP-Ⅱ评分>69分的重症支气管哮喘患者比较,差异均无统计学意义(P>0.05);HPLP-Ⅱ≤69分重症支气管哮喘患者的高中及以下学历、希望水平低下、抑郁、社会支持度低下占比均高于HPLP-Ⅱ评分>69分的重症支气管哮喘患者,差异有统计学意义(P<0.05);Logistic回归分析结果显示,高中及以下学历、希望水平低下、抑郁、社会支持度低下均为影响重症支气管哮喘患者健康促进行为的危险因素(P<0.05)。结论:高中及以下学历、希望水平低下、抑郁、社会支持度低下均为影响重症支气管哮喘患者健康促进行为的独立危险因素。

Objective:To explore influencing factors of health-promoting behavior in patients with severe bronchial asthma.Methods:95 patients with severe bronchial asthma were selected as the research objects.Health-promoting lifestyle profileⅡ(HPLP-Ⅱ)was used to evaluate the health behaviors of these patients.The influencing factors of the health-promoting behaviors in the patients with severe bronchial asthma were analyzed by Logistic regression.Results:Among the 95 patients with severe bronchial asthma,the HPLP-Ⅱscores of 37 cases were>69 points at admission,accounting for 38.95%.There were no statistical differences in gender,rehabilitation exercise,marital status,hypertension,diabetes,home oxygen therapy and the way to access knowledge among the patients with severe bronchial asthma with the HPLP-Ⅱscore≤69 and those with severe bronchial asthma with the HPLP-Ⅱscore>69(P>0.05).The proportions of high school education or below,low level of hope,depression,and low social support in the patients with severe bronchial asthma with HPLP-Ⅱscore≤69 were higher than those in the patients with severe bronchial asthma with HPLP-Ⅱscore>69,and the differences were statistically significant Significance(P<0.05).Logistic regression analysis showed that high school education or below,low level of hope,depression,and low social support were all risk factors for the health-promoting behaviors in the patients with severe bronchial asthma(P<0.05).Conclusions:High school education or below,low level of hope,depression,and low social support are all risk factors for the health-promoting behaviors in the patients with severe bronchial asthma.