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中国高血压老年患者自我护理的现状及其预测因素:一项横断面研究。采用《高血压自我护理量表》中文版。

The status and predictors of self-care among older adults with hypertension in China using the Chinese version of Self-Care of Hypertension Inventory - A cross-sectional study.

机构信息

School of Medicine (School of Nursing), Nantong University, Nantong, China.

School of Pharmacy, Nanjing Medical University, Nanjing, China.

出版信息

Nurs Open. 2022 Mar;9(2):1241-1261. doi: 10.1002/nop2.1165. Epub 2022 Jan 11.

Abstract

AIM

To investigate the status and predictors of self-care among older adults with hypertension in China by the Chinese version of Self-Care of Hypertension Inventory.

DESIGN

A cross-sectional questionnaire survey.

METHODS

A convenience sampling of 544 older adults with hypertension was surveyed using the Chinese version of Self-Care of Hypertension Inventory. SPSS25.0 software was used for statistical analysis of the data. Generalized liner model univariate analysis and the optimal scaling regression analysis were performed to investigate the predictors of self-care.

RESULTS

The status of self-care was poor with the median and inter-quartile range of total scores of self-care (140.00 ± 67), the scores of self-care maintenance (50 ± 24.76), the scores of self-care management (56.25 ± 29.41) and the scores of self-care confidence (54.79 ± 29.17). Age, family model, primary caregiver, maximum systolic blood pressure, coverage of medical insurance, disease duration, receiving self-care education, education level, economic burden and family history of hypertension were the most powerful predictors of self-care among older adults with hypertension.

摘要

目的

采用高血压自我护理能力测定量表中文版调查中国老年高血压患者自我护理的现状及其影响因素。

设计

横断面问卷调查。

方法

便利抽样选取 544 例老年高血压患者,采用高血压自我护理能力测定量表中文版进行调查。采用 SPSS25.0 软件进行数据的一般线性模型单因素分析和最优尺度回归分析,以探讨自我护理的影响因素。

结果

自我护理状况较差,总分(140.00±67)、自我护理维持(50±24.76)、自我护理管理(56.25±29.41)和自我护理信心(54.79±29.17)的中位数和四分位数间距较低。年龄、家庭模式、主要照顾者、最大收缩压、医疗保险覆盖范围、疾病持续时间、接受自我护理教育、文化程度、经济负担和高血压家族史是老年高血压患者自我护理的最强预测因素。

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