中老年高血压病患者健康素养现状及影响因素分析  

Analysis on current status of health literacy of middle and old age hypertension patients and its influential factors

作　　者：桑甜 丁淑贞[1] 王建荣[1] 

机构地区：[1]大连医科大学附属第一医院护理部,大连市116011

出　　处：《护理实践与研究》2017年第13期1-4,共4页Nursing Practice and Research

摘　　要：目的:调查大连地区中老年高血压病患者的健康素养水平,了解相关影响因素,为提高中老年高血压病患者的健康素养提供参考依据。方法:采用便利抽样,调查大连某三级甲等综合性医院高血压门诊360例中老年原发性高血压病患者。研究工具使用一般资料调查表和慢性病患者健康素养量表。结果:门诊原发性高血压病患者健康素养总分(84.68±9.27)分,其中30.8%的中老年高血压病患者不具备健康素养;影响因素分析显示,不同性别、年龄、学历、经济状况、医疗费用、高血压分级和患病时间、社会支持水平患者的健康素养水平不同,线性回归分析显示,学历、收入、高血压分级和社会支持水平是中老年高血压病患者健康素养的主要影响因素。结论:临床实践中关注低学历、低收入和3级高血压病患者的健康素养水平并进行着重干预,重视患者社会支持对健康素养的促进作用,减少健康素养不足对健康管理的不良影响,促进中老年高血压病患者的疾病控制。Objective：To investigate the health literacy level of middle and old age hypertension patients in Dalian and understand relevant influential factors, so as to provide a reference basis to improve the health literacy of middle and old age hypertension patients.Methods：Convenient sampling was adopted to investigate 360 middle and old age patients with primary hypertension receiving treatment in hypertension outpatient department in a 3A general hospital in Dalian.The general data questionnaire and chronic patients health literacy scale were used as the research tools.Results：The total score of health literacy of patients with primary hypertension in the outpatient department was （84.68±9.27）, where 30.8% of the middle and old age hypertension patients did not have health literacy;according to the analysis of influential factors, patients of different genders, ages, education backgrounds, economic conditions, medical expenses, hypertension grades and social support levels had different health literacy levels;linear regression showed that education background, income, hypertension grade and social support level were the main influential factors for the health literacy of middle and old age hypertension patients.Conclusion：In clinical practice, we should concern the health literacy level of patients with low education background, low income and 3-level hypertension and give intervention priority to them, emphasize the promotion of patients＆#39; social support to health literacy, reduce the adverse influence of insufficient health literacy on health management and promote the disease control of middle and old age hypertension patients.

关 键 词：高血压 中老年 健康素养 影响因素 

分 类 号：R473.5[医药卫生—护理学]