社区心血管疾病高危女性静态行为及其影响因素研究  

Study on Sedentary Behavior and its influencing factors of women at high Cardiovascular Disease risk in community

作　　者：刘迎春 张文杰[1] 吴蓓蓓[2] 高丽 宋倩 LIU Yingchun;ZHANG Wenjie;WU Beibei;GAO Li;SONG Qian

机构地区：[1]江苏大学附属医院护理部,江苏省镇江市212001 [2]江苏大学附属医院心血管内科,江苏省镇江市212001 [3]镇江市京口区健康路社区卫生服务中心预防保健部 [4]句容市卫生健康委员会

出　　处：《中国护理管理》2022年第3期380-385,共6页Chinese Nursing Management

基　　金：江苏省医院协会医院管理创新研究课题(JSYGY-3-2020-427);江苏大学第20批大学生科研课题立项资助项目(20A364);2021年江苏省研究生实践创新计划项目(SJCX21_1732)。

摘　　要：目的:调查社区心血管疾病(Cardiovascular Disease,CVD)高危女性静态行为现状及其影响因素。方法:便利选取在镇江市某社区卫生服务中心建立档案的169例CVD高危女性为研究对象,应用一般资料调查表、老年人静态行为问卷、国际体力活动短问卷中文版、日常生活活动能力量表、居家环境安全量表、家庭关怀度指数测评问卷对其进行调查。结果:CVD高危女性静态行为总时间为5.00(3.60,6.00)小时/天,居家环境安全量表总分为(92.09±8.16)分,家庭关怀度指数测评问卷总分为(7.31±2.17)分。Spearman相关性分析显示,静态行为时间与居家环境安全、家庭关怀度指数总分相关系数分别为-0.417、-0.228(P<0.01)。多元线性回归分析结果显示,年龄、日常生活活动能力、体力活动水平、家庭环境安全、家庭关怀度指数是CVD高危女性静态行为的主要影响因素。结论:CVD高危女性静态行为水平较高,与其日常生活活动能力、体力活动水平、居家环境安全及家庭功能密切相关。社区医护人员应通过开展有针对性的居家环境健康与静态行为相关知识宣教与干预,促进其减少静态行为、降低CVD风险。Objective:To investigate the occurrence of Sedentary Behavior(SB)and its influencing factors among women at high Cardiovascular Disease(CVD)risk.Methods:By convenience sampling,we investigated 169 women at high CVD risk from a primary health service center in Zhenjiang city,with the general situation questionnaire,Sedentary Behavior Questionnaire for the Elderly,Activity of Daily Living Scale(ADL),International Physical Activity QuestionnaireShort-Chinese version,Safety in the Home Environment Scale and family APGAR index questionnaire.Results:The SB duration of women at high CVD risk was 5.00(3.60,6.00)h per day,the total score of the Safety in the Home Environment Scale was 92.09±8.16 and the total score of APGAR was 7.31±2.17.Spearman correlation analysis showed that the correlation coefficients between the SB duration and the safety in the home environment and APGAR was-0.417 and-0.228 respectively(P<0.01).The multiple linear regression analysis showed that age,activity of daily living,physical activity level,safety in the home environment,and family function were the main infuencing factors for SB in women at high CVD risk.Conclusion:High levels of SB in women at high CVD risk are closely related to their activity of daily living,physical activity level,home environment safety and family function.Community health caregivers should promote the reduction of SB and the risk of CVD through targeted education and interventions related to favorable home environment and SB.

关 键 词：心血管疾病风险 静态行为 女性 影响因素 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]