老年慢性阻塞性肺疾病患者健康信息寻求行为水平及影响因素分析

Analysis on the Level of Health Information-Seeking Behaviors and Its Influencing Factors Among El⁃derly Patients with Chronic Obstructive Pulmonary Diseases

目的 调查老年慢性阻塞性肺疾病(COPD)患者健康信息寻求行为水平并分析其影响因素。方法2021年1月至2022年12月,采用方便抽样方法选取江西省乐平市中医医院收治的137例老年COPD患者作为研究对象。采用一般资料调查表、健康信息寻求行为量表(HISB)、慢性病自我效能感量表(CDSES)、慢性病健康素养量表(HeLMS)及简易应对方式问卷(SCSQ)对其进行调查。结果 137例老年COPD患者HISB平均得分(123.24±15.64)分;多元线性回归分析显示,家庭人均月收入<3 000元、文化程度初中以下、自我效能低、健康素养低和消极应对是影响老年COPD患者健康信息寻求行为水平的危险因素(P<0.05)。结论 老年COPD患者健康信息寻求行为水平低,医护人员应根据患者家庭人均月收入、文化程度、自我效能、健康素养和应对方式等因素制订并实施个体化健康宣教和干预方案,以提高患者健康信息寻求行为水平。

Objective To investigate the level of health information-seeking behaviors in elderly patients with chronic obstructive pulmonary diseases(COPD)and analyze its influencing factors.Methods From January 2021 to December 2022,a total of 137 elderly patients with COPD who were admitted to Leping Hospital of Traditional Chinese Medicine in Jiangxi Province were selected by convenience sampling.They were investigated using the General Information Questionnaire,Health Information Seeking Behaviors(HISB),Chronic Disease Self-Efficacy Scale(CDSES),Health Literacy Management Scale(HeLMS)and Simplified Coping Style Questionnaire(SCSQ).Results Among the 137 elderly patients with COPD,the average score of HISB was(123.24±15.64)points.Multivariate linear regression analysis identified several risk factors affecting health information-seeking behaviors in these patients,including monthly household income per capita<RMB 3000,below junior high school education,low self-efficacy,low health literacy and negative coping style(P<0.05).Conclusion The level of health information-seeking behaviors is low in elderly patients with COPD.Healthcare providers should formulate and implement individual health education and intervention programs according to the risk factors such as monthly household income per capita,education level,self-efficacy,health literacy and coping style,so as to improve their level of health information-seeking behaviors.