中年高血压患者自我管理现状及影响因素分析

目的:了解中年高血压患者自我管理的现状并探讨其影响因素。方法:运用自我管理能力问卷及影响因素问卷,对就诊于成都市某综合性医院心血管内科的200例中年高血压患者进行调查。结果:自我管理各维度得分分别为:日常生活行为管理(12.29±3.89)分,认知症状管理(12.33±2.80)分,疾病管理(18.88±3.88)分,自我管理总分(43.50±7.03)分。多元逐步回归分析显示:自我效能、对疾病的态度、文化程度是日常生活行为管理的影响因素;文化程度、高血压知识、性别是认知症状管理的影响因素;自我效能、高血压知识、家族史是疾病管理的影响因素;自我效能、对疾病的态度是自我管理总维度的影响因素(P<0.05)。结论:中年高血压患者的自我管理现状不理想,自我效能、高血压知识和态度、文化程度、性别、家族史是主要影响因素。

Objective:To investigate the current status of self- management of middle- aged patients with hypertension,and analyze its influencing factors.Methods:The use of self-management skills and influencing factors questionnaire questionnaire for treatment in a general hospital in Chengdu Department of Cardiology of 200 cases of middle-aged hypertensive patients were investigated.Results:Each dimension scores of self management were(12.29±3.89) for daily-life,(12. 33±2.80) forself- management of cognitive symptom,(18.88±3.88) for disease self-management,and(43.50±7.03) for the totalscores. Multiple linear regression analysis showed that self- efficacy,attitude and education level were the influencing factors of daily- life self- management,for cognitive symptom self- management,education level,hypertension- related knowledge and gender were the influential factors,for disease self- management,self- efficacy,hypertension- related knowledge and family hypertension history were the influencing factors and for total self- management,self- efficacy and attitude were the influencing factors.Conclusion:The current status of self- management in middle- aged hypertensive patients was not ideal,self- efficacy,hypertension- related knowledge and attitude,education level,gender and family history were factors influencing self-management.