Mikkonen Ulla, Tusa Nina, Sinikallio Sanna, Lehto Soili Marianne, Ruusunen Anu, Kautiainen Hannu, Mäntyselkä Pekka
Institute of Public Health and Clinical Nutrition, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio, Finland.
Wellbeing Services County of North Savo, Health Services, P.O. Box 1711, FI-70211 Kuopio, Finland.
Fam Pract. 2025 Jan 17;42(1). doi: 10.1093/fampra/cmae069.
Measuring self-care preparedness may enable better support for patients in general practice.
This study assessed the relationship between the self-care preparedness index (SCPI) and health-related quality of life (HRQoL) in a longitudinal analysis over 36 months.
This was a secondary analysis of an intervention group of a randomized controlled trial. Participants were adults (n = 256) with hypertension, diabetes, or coronary artery disease in primary health care. The intervention group was included in the present study since they had answered SCPI as a part of the intervention. The relationship between SCPI and HRQoL (15D) and other outcomes were studied at baseline. The mean changes in SCPI and 15D were calculated from baseline up to 36 months. Regression-based analysis was used to study to what extent the baseline SCPI was associated with the change in SCPI and 15D and to what extent the change in SCPI was associated with the change in 15D.
At baseline, 15D, physical activity, self-rated health, life satisfaction, and patient activation measures had a positive linear relationship with SCPI. Body mass index and depressive symptoms had a negative linear relationship with SCPI. The longitudinal association between changes in SCPI and 15D was statistically significant and positive. The adjusted β was + 0.19 (95% confidence interval: 0.07 to 0.30, P = .002).
Those patients who managed to increase their SCPI over the study period experienced an improvement in HRQoL.
评估自我护理准备情况可能有助于在全科医疗中为患者提供更好的支持。
本研究在为期36个月的纵向分析中评估了自我护理准备指数（SCPI）与健康相关生活质量（HRQoL）之间的关系。
这是一项对随机对照试验干预组的二次分析。参与者为初级医疗保健中患有高血压、糖尿病或冠状动脉疾病的成年人（n = 256）。干预组被纳入本研究，因为他们在干预过程中回答了SCPI。在基线时研究了SCPI与HRQoL（15D）及其他结果之间的关系。计算了从基线到36个月期间SCPI和15D的平均变化。采用基于回归的分析方法来研究基线SCPI在多大程度上与SCPI和15D的变化相关，以及SCPI的变化在多大程度上与15D的变化相关。
在基线时，15D、身体活动、自我健康评分、生活满意度和患者激活度测量与SCPI呈正线性关系。体重指数和抑郁症状与SCPI呈负线性关系。SCPI变化与15D变化之间的纵向关联具有统计学意义且呈正相关。调整后的β为+0.19（95%置信区间：0.07至0.30，P = 0.002）。
在研究期间成功提高SCPI的患者，其健康相关生活质量得到了改善。
