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影响韩国老年高血压患者自我护理的因素。

Factors affecting self-care in elderly patients with hypertension in Korea.

作者信息

Chang Ae Kyung, Lee Eun Ju

机构信息

Department of Nursing Science, Chungbuk National University, Cheongju-Si, Chungbuk, Republic of Korea.

College of Nursing, Keimyung University, Deagu, Republic of Korea*

出版信息

Int J Nurs Pract. 2015 Oct;21(5):584-91. doi: 10.1111/ijn.12271. Epub 2014 Jun 22.

Abstract

The objective of this study was to test nine variables which derived from the model of self-care in chronic illness and previous studies on elderly patients with hypertension. A descriptive research design was employed in this study. Totally, 306 elderly patients diagnosed with hypertension were selected from three public health centres for the study. The stepwise regression analysis was conducted by analysing predictors of self-care in elderly patients with hypertension. Statistical analyses, including correlation analysis, t-test and analysis of variance tests were conducted for seven variables. The results indicated that only four variables were significant, and the model explained 57% of the variance in self-care. Among these predictors, empowerment was the strongest predictor, followed by social support, depression and perceived severity. These findings demonstrate the significance of assessing predictors of self-care behaviour when examining patients' health behaviours and planning intervention strategies.

摘要

本研究的目的是测试九个源自慢性病自我护理模型及先前关于老年高血压患者研究的变量。本研究采用描述性研究设计。总共从三个公共卫生中心选取了306名被诊断为高血压的老年患者进行研究。通过分析老年高血压患者自我护理的预测因素进行逐步回归分析。对七个变量进行了包括相关分析、t检验和方差分析在内的统计分析。结果表明只有四个变量具有显著性,该模型解释了自我护理中57%的方差。在这些预测因素中,赋权是最强的预测因素,其次是社会支持、抑郁和感知严重性。这些发现表明,在检查患者的健康行为和规划干预策略时,评估自我护理行为的预测因素具有重要意义。

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