农村慢性阻塞性肺疾病高危人群健康行为自我效能及影响因素

Rural health behavior at high risk of chronic obstructive pulmonary disease self-efficacy and its influencing factors

目的 调查农村慢性阻塞性肺疾病(COPD)高危人群健康行为自我效能状况并探讨其影响因素.方法 2014年11月采用一般情况调查表、健康行为自我效能量表对176名40岁以上农村COPD高危人群进行健康行为自我效能及影响因素调查研究.结果 农村COPD高危人群健康行为自我效能得分为(71.75±7.68)分,其中营养效能和心理安适维度得分最高分别为(14.86±2.03)分和(19.75±3.03)分,运动和健康责任维度得分较低,分别为(18.90±2.87)分和(18.42±2.52)分.多元逐步回归分析显示,婚姻状况、文化程度和经济收入是影响农村COPD高危人群健康行为自我效能的主要因素(β=0.384、0.297、0.236,P＜0.05).结论 农村COPD高危人群健康行为自我效能处于中等水平,护理人员应给予文化程度和经济收入较低者更多关注,帮助其提高健康行为自我效能.

Objective To understand the self-efficacy for health behaviors and its influencing factors among investigation of rural chronic obstructive pulmonary disease (COPD) high-risk groups.Methods November 2014 using the general questionnaire,Health Behavior Self-efficacy Scale for 176 over 40 yearsold of high-risk populations in rural COPD self-efficacy and health behavior factors research.Results In rural areas at high risk of health behavior self-efficacy scored (71.75±7.68) points,including nutrition and psychological comfortable highest scores which were (14.86±2.03) points and (19.75±3.03) points.Exercise and health responsibilities lower scored 18.90±2.87 and 18.42±2.52.Multiple regression analysis showed that marital status,education level and income were the main factors affecting rural health behavior at high risk of COPD self-efficacy (β=0.384,0.297,0.236,P ＜0.05).Conclusions COPD risk populations in rural areas at the middle level of health behavior self-efficacy,nurses should be given a lower level of education and income were more concerned to help them improve the health behavior self-efficacy.