社区老年高血压患者的赋能情况及其影响因素分析  

Analysis of the Present Situation and Impact Factors of Empowerment in Elderly Patients with Hypertension in the Community

作　　者：刘慧[1] 龙艳波[1] 李艳芳 LIU Hui;LONG Yanbo;LI Yanfang(The Second Affliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院,广东广州510260

出　　处：《现代医院》2018年第5期697-700,共4页Modern Hospitals

摘　　要：目的了解社区老年高血压患者的赋能情况及其影响因素。方法通过便利抽样的方法选择广州某社区的176例老年高血压患者,应用慢性病赋能量表、一般自我效能量表和社会支持评定量表进行调查。结果老年高血压患者的赋能得分为(147.48±15.65)分,患者在自我管理维度的得分率最低,为44.6%;文化程度、独居情况、病程、自我效能、客观支持、主观支持和对社会支持的利用度均对赋能具有独立影响作用(P<0.05),共可解释78.1%的方差变异量。结论社区老年高血压患者的赋能水平相对较低,临床医护人员应重点关注文化程度较低、独居、病程较长的患者,并应注意培养患者的自我效能感和加强社会支持力量,以改善患者的临床治疗效果。Objective To investigate the present situation of empowerment in elderly patients with hypertension in the community,and to analyze its impact factors. Methods 176 elderly hypertensive patients in our community of Guangzhou city were investigated by convenience sampling method. The chronic disease empowerment scale,general self-efficacy scale and social support rating scale were used to investigate. Results The score of empowerment in elderly patients with hypertension was（147. 48 ± 15. 65）. The score of self-management is the lowest dimension with the score rate of 44. 6%.The impact effects of education level,living conditions,course of disease,self-efficacy,objective support,subjective support and utilization of social support on empowerment were significant（ P〈0. 05）,which could explain 78. 1% of the variance. Conclusion The empowerment level of elderly patients with hypertension in community is relatively low,the clinical medical staff should focus on the patients of lower education level,living alone,with a longer duration of disease. Nurses should pay attention to strengthening self-efficacy and social support of the patients so as too improve the clinical therapeutic effects of patients.

关 键 词：高血压 老年人 赋能 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病] R492[医药卫生—内科学]