河北省老年冠心病患者健康自我管理现状  

Health self-management and its relevance on family function among elderly coronary heart disease patients in Hebei province

作　　者：刘玉珍[1] 宋琼 陈长香 

机构地区：[1]唐山工人医院,河北063000 [2]华北理工大学护理与康复学院

出　　处：《中国公共卫生》2017年第9期1381-1385,共5页Chinese Journal of Public Health

基　　金：国家社会科学基金(12BRK017)

摘　　要：目的了解城乡冠心病老年患者健康自我管理现状,分析家庭功能与其相关性,为采取应对措施提供理论依据。方法 2012年7月-2013年5月,采用多阶段分层整群抽样法抽取河北省唐山、石家庄、张家口3个市共6 173名≥60岁老年人进行成年人健康自我管理能力及家庭功能评定。结果 6173名老年人中冠心病老年人1408例,占22.8%;老年冠心病患者健康自我管理行为维度为(3.53±0.77)分,健康自我管理环境维度为(3.68±0.80)分,健康自我管理认知维度为(4.24±0.55)分,健康自我管理总均分为(3.83±0.59)分;单因素分析显示,城乡、文化程度、与谁同住、子女关心、与子女交流、家人指正不良行为、子女安排体检、家人督促就医及家庭功能与冠心病老年人健康自我管理总均分相关,差异有统计学意义(P<0.05);多因素分析显示,子女安排体检(β=0.190)、与子女交流(β=0.185)、文化程度(β=0.169)、家庭功能(β=0.164)、城乡(β=-0.125)、家人指正不良行为(β=O.055)是冠心病老年人健康自我管理的影响因素(P<0.05)。结论河北省城乡冠心病老年人自我管理行为有待提升,应调动家庭支持系统,提高其自我管理行为。Objective To investigate the prevalence of health self-management behavior in elderly coronary heart disease （CHD） patients and its correlation with family function.Methods Multi-stage stratified cluster sampling was used to recruit 6 173 old residents aged 60 years and above from urban and rural areas in three municipalities of Hebei province to investigate the prevalence of health self-management and family function in the participants.Results Among 6 173 participants,1 408 （22.8%） were identified with CHD.Among the CHD patients,the average overall score for health self-management was 3.83±0.59,with the average health self-management domain scores of 3.53±0.77 for behavior,3.68±0.80 for environment,and 4.24±0.55 for cognition,respectively.The results of univariate analyses showed that the factors significantly correlated with the CHD patients＇ overall score of health self-management included residential area,education,with what kind of person living together,concern of children,communication with children,being supervised for unhealthy behaviors by family members,having physical examination arranged by children,being reminded of visiting a doctor by family members,and family functioning （P〈0.05 for all）.Multivariate analyses revealed that having physical examination arranged by children （β=0.190）,communication with children （β=0.185）,education （β=0.169）,family functioning （β=0.164）,residential area （β=-0.125）,and being supervised for unhealthy behaviors by family members （β=0.055）were the influencing factors of health self-management among the elderly CHD patients （P〈0.05 for all）.Conclusion Health self-management behavior needs to be improved and family support to the health self-management should be promoted among elderly patients with coronary heart disease in urban and rural areas of Hebei province.

关 键 词：冠心病 健康自我管理 家庭功能 老年 

分 类 号：R541.4[医药卫生—心血管疾病]