健康素养和社会支持在提高老年心力衰竭患者自我护理行为依从性中的作用。
The roles of health literacy and social support in improving adherence to self-care behaviours among older adults with heart failure.
机构信息
Red-Cross college of Nursing Chung-Ang University Seoul Korea.
College of Nursing and Institution of Nursing Science Ajou University Suwon Korea.
出版信息
Nurs Open. 2020 Aug 18;7(6):2039-2046. doi: 10.1002/nop2.599. eCollection 2020 Nov.
Abstract
AIM
To describe the associations between health literacy, social support and self-care behaviours in older adults with heart failure.
DESIGN
A cross-sectional descriptive study.
METHODS
A total of 252 older adults were recruited from a tertiary care hospital from September 2018-February 2019. Structured questionnaires and medical record reviews were used for data collection. Two steps of hierarchical regression analysis were employed to determine the predictors of self-care behaviours.
RESULTS
Health literacy (= 0.27, < .001) and social support (= 0.32, < .001) were significant determinants of self-care behaviours in older adults with heart failure. Together, they explained 22% of the variance in self-care behaviours.
CONCLUSION
Health literacy and perceived social support were positively associated with self-care behaviours among older heart failure patients. Our findings can help health professionals develop heart failure self-care interventions to enhance health literacy skills and social support for older adults.
摘要
目的
描述心力衰竭老年患者健康素养、社会支持与自我护理行为之间的关系。
设计
横断面描述性研究。
方法
2018 年 9 月至 2019 年 2 月，从一家三级护理医院招募了 252 名老年人。采用结构化问卷和病历回顾收集数据。采用两步分层回归分析来确定自我护理行为的预测因素。
结果
健康素养（=0.27，<0.001）和社会支持（=0.32，<0.001）是心力衰竭老年患者自我护理行为的重要决定因素。两者共同解释了自我护理行为 22%的变异。
结论
健康素养和感知到的社会支持与老年心力衰竭患者的自我护理行为呈正相关。我们的研究结果可以帮助卫生专业人员制定心力衰竭自我护理干预措施，以提高老年人的健康素养技能和社会支持。
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